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Showing posts with the label Hand surgery

digital artery perforator flap for finger tip stump coverage

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pre op wound digital artery flap raised flap insetted checking bleeding before closure viable flap after two days after two days                                        suture removed after two weeks                                         Finger tip amputation are common emergency faced by plastic surgeons. Replantation is ideal but often not feasible. Cross finger flap and Thenar flap is usually  done to cover the stump.But these procedure are two stage with considerable morbidity. Digital artery perforator flap are single stage procedure with little or no morbidity. It is fast easy and has excellent results. Dr Adhishwar Sharma MBBS, MS General surgery PGIMER Chandigarh Mch Plastic Surgery Fellowship i...

Elbow reconstruction with thoraco abdominal flap and skin grafting

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pre op marking 32 year old man met with a accident which resulted in a degloving  injury of  elbow. Orthopedic surgeons stabilised the extremity with external fixator. Patient had exposed bones around elbow joint which necessitated flap surgery for elbow, but area was large . So decision was taken to cover necessary portion with flap rest was to be skin grafted.  Later patient under went thoraco abdominal flap  and after three weeks flap division and skin grafting was done. External fixator was removed once complete wound healed and physiotherapy was started. Dr Adhishwar Sharma MBBS MS gen surgery Mch Plastic surgery Fellowship in microvascular and hand surgery 8860650846 adhishwar7@gmail.com brahmanand clinic.com

Macrodactyly reduction surgery

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before surgery before surgery After completion of surgery post op post op Dr Adhishwar Sharma 8860650846