brahmanand clinic

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

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...

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