brahmanand clinic

                                                      degloving injury initial injury photo Immediate post op                                               at two weeks healed flap at three weeks At three weeks skin grafted donor site skin grafted thigh degloving injury finally healed flap at two months final hand function Degloving injury occurred to 21 years old male while coming from religious pilgrimage . Patient had total degloving of forearm skin , with extensive crushing of muscles. Patient had small liver injury as well as degloving of right thigh as well.   Pt was investigated and planne for debridement. After debridement patient was taken...

pre op wound dorsal aspect flap marking dissected flap revesered and insetted connected to common digital artery lookis bad but bleed is bright red one week old 28 year old male with ring avulsion injury, refused option of groin flap. Patient was offered option of venous flap he accepted. A venous flap was designed and transferred . incoming vien to flap was connected to common digital artery and draining vein was connected to digital vien . Flap developed congestion first post op day , all sutures were removed flap improved . Subsequently it developed dusky appearance though bleeding was okay. I am waiting for one month to pass so that measures to reduce edema and proper shape can be given. 12/06/2018 Dr Adhishwar Sharma  MBBS, MS gen surgery PGIMER Mch Plastic surgery 8860650846 , adhishwar7@gmail.com brahmanand clinic.com

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