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 after deridement gracillis muscle with pedicle muscle being insetted post op day 10 healthy muscle and graft taken up 42 year old iraqi male suffered electric contact burn ,which resulted in loss of skin ,tendons and exposed bone.. Wound was debrided and VAC was applied and culture was done . Antibiotics according to culture were given. After 10 days of VAC therapy decision to operate was taken. Bone was nibbled and gracillis flap was taken to cover it. Flap artery was connected end to side to anterior tibial artery and vein was connected end to end to venae comitantes. Patient was anticoagulated for 5 days and flap monitoring was done. After six days of surgery patient was discharged and put on ecosprin for one month. Regular dressing were done and flap epithelized rapidly . Microvascular surgery is difficult in high voltage electric burn injuries as in these case . Electric current travels through neurovascular bundles. Dead bone is a good...

32 year old man suffered a near total amputation to right leg due to road traffic accident . By the time they reached hospital part was considered non replantable, So decision was taken to amputate the leg and cover stump with LD flap in order to preserve stump length. LD flap was connected to popliteal artery stump and vena comitans was used for venous drainage. Flap was skin grafted ,It took two months for all wounds to heal . Patient was fitted with prosthesis after another six months. Free flaps are sometime used to preserve the length of amputation stump , whenever skin cover is short . Usually muscle flap are used along with skin grafting to cover amputation stump. Sometimes Fasciocutaneous flaps ( ALT) are  used.  Preserving amputation stump length enables better ambulation and less energy consumption. It results in better ambulation and more gait speed. It is useful in you...