palatal reconstruction various flaps

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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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thumb replant

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amputated part preserved in saline amputation stump successful revascularization of thumb  . Pink  thumb  16 year old girl under went replant of thumb for traumatic amputation thumb . She was taken up for surgery and long vein graft was placed to connect radial artery to ulnar digital artery of thumb. thumb pinked up and then two veins were repaired. Part survived then then the patient was transferred to ICU for monitoring . Subsequently patient underwent groin flap for wound coverage. Dr Adhishwar Sharma MBBS,MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship in hand and microvascular surgery 8860650846, adhishwar7@gmail.com
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breast recon and breast reduction

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marking for breast reduction Partial mastectomy scar Tram flap marked out internal mammary vessel dissected out Microvascular anastomosis done primary closure and lateral muscle mass Lie of vascular pedicle before final closure final closure  both breast shape 40 year old female developed right breast cancer which was excised partilly . Hence completion mastectomy and right axillary dissection was done . Right breast was reconstructed with muscle sparing tram flap and left breast was reduced by lejour method. Lejour method is superior pedicle reduction technique which results in linear scar well accepted by patients. Tram flap was raised by sparing lateral muscle and including only medial component . Inferior epigastric artery of flap was connected to internal mammary vessels .  Drains were placed and flap was monitored for vascularity for 5 days and patient discharged there of. Nipple reconstruction and any other revis...
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