palatal reconstruction various flaps

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lymphedema tarda

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measurements at first interview  Final result as compared to opposite leg per op photo  pre op photo Fasciectomy and debaulking in progress  Final wound closure Four layer crepe bandage Skin marking for autologous lymph node transfer Superficial lymph node transfer Vein marked Lymph node flap dissected Lymph node vessel connected lymph node flap with vessel connected lymph node insetted in groin First dressing change and result achieved 59 years old female presents with a leg swelling for past 15 years come to my clinic . She was suffering from primary lymphedema tarda. Clinical examination was done , limb measurements were done . MRI leg , lymphoscintigraphy and color doppler  were ordered . MRI leg revealed fluid filled spaces with dilated lymphatics, no lymph nodes. Lymphoscintigraphy revealed absent groin lymph nodes and color doppler wa...
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Pseudo bursa following abdominoplasty

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At six months post op Six months Post op six months Bursa fluid Final closure MRI Scan MRI Scan showing pseudobursa pre op pre op photo pre op wound A young Tanzanian doctor who was ENT surgeon by training went to Korea for training and decided to get abdominoplasty done in 2015. Post operative he was fine . In 2016 he noticed swelling in abdomen which was increasing in size. It made breathing difficult, it was pain ful and interfere in daily activities.  In 2017 he came to us in India and requested a solution to his problem. A physical examination was done, and a MRI scan was ordered. MRI scan showed a cystic swelling in the abdominal wall .  Patient was taken up for surgery and that pseudo bursa was excised. Post op was uneventful, at six months patient was showing normal profile. Dr Adhishwar Sharma MBBS ,MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship...
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Adult Brachial plexus injuries

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                           Adult Brachial Plexus Injuries Adult brachial plexus injuries are becoming increasingly common. In adults most common cause is motor cycle accidents, other notably causes are tumors, radiotherapy and iatrogenic. brachial plexus is a plexus of nerves which arise out of lower cervical (C5-C8) and first thoracic T1 spinal nerves.Anterior primary rami which are motor in function participate in plexus formation. They supply motor and sensory innervation to upper limbs from shoulder to hand. In the C5 and C6 forms upper trunk just after exiting scalene triangle,C7 continue as middle trunk and lower two(C8&T1) joined as lower trunk. They gives rise to cords which are below clavicle and followed by terminal branches. All posterior division arising from trunks forms posterior cord which gives arise to terminal branches, anterior division of upper trunk give arise to lateral cord and medial ...
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