Posts

Showing posts with the label skin grafting

Skin grafting for degloving injury

Image
degloving with fracture 14 years old boy with trauma.  both leg wounds Add caption Healed wound

Neck AV malformation resection

Image
Av malformation is a complex thing to treat with no easy solutions. They are of various types Vascular tumors 1 infantile haemangioma 2 haemangioendothelioma 3Haemangiopericytoma Slow flow malformations 1 capillary malformation 2 Venous malformations 3 Lymphatic malformation 4 Combined Fast flow malformation 3 Arterial venous malformations 4 ArterialVeno fistula 5 combined These vascular malformations come in various symptoms pain , bleeding , swelling, throbbing sensation , ulceration , compression. pre op view AV malformation post view final defect Final defect  skin flaps being tacked Add caption skin graft after one week 40 year old with a complex vascular malformation on posterior and lateral aspects of neck. He was operated 5 times .  MRI showed intramuscular and above fascia  extent of malformation. So it was decided to embolism below fascia malformation and excise abo...

Degloving injury forearm and ALT flap

Image
                                                      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...

Elbow reconstruction with thoraco abdominal flap and skin grafting

Image
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