brahmanand clinic

wound with bone and tendon exposed lateral aspect of wound gracillis muscle  graciillis muscle with pedicle flap being insetted A very bad crush injury of  ankle occurred while patient was going on motorbike. Heel bone {calcaneaum} was badly crushed, orthopedic surgeon put wires into calcanaeum and  tried to fix it. A big wound remained with exposed Tendo Achillies which needed cover . It was infected and dirty wound so VAC therapy was put on the wound to reduce infection and it was planned to cover it with a flap once it improves. Debate of muscle versus skin flaps will be always be there in plastic surgery . Muscle flaps have inherent advantages in these conditions . So decision was taken to do gracillis flap which was connected to posterior tibial vessels. Artery was connected end to side and a single vein was done. Post op was eventful, flap was monitored for vascularity for five days and then patient being discharged. Patient was...

                                                      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 photo with entropion pre op photo post op 4 days post op at four days At one week 55 year old female had complain of trichiasis and entropion for past  decade . She has in past undergone two surgery to correct the entropion but trichiasis exacerbated each time . After clinical examination it was decided that posterior lamella was deficient. So decision was taken to release posterior lamella and cover the raw surface with buccal mucosa graft . Surgery was done in conjunction with Dr Anita Seth Oculoplastic surgeon. Surgery was done posterior lamella was released and buccal mucosa graft was placed . Eye was closed for three days and dressing was removed after three days .  Patient settled after one week and she had 85% graft take ,her trichiasis was gone . Patient was happy and went her home town. Dr Adhishwar Sharma MB,BS, MS General Surgery PGIMER chd Mch Plastic Surgery Fellowship in hand and microvascular surgery 886065084...

Dr Adhishwar Sharma MBBS,MS Gen Surgery PGIMER Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery brahmanandclinic.com 91 8860650846 adhishwar7@gmail.com

pre op deformity with burn scar on fore arm near elbow Neurolysis of median and ulnar nerve Final release Splint being applied 52 year old male suffered thermal burns in proximal fore arm .Burn was treated conservatively and patient developed contracture of forearm muscles. Patient was planned for surgery and flexor slide along with neurolysis of median and ulnar nerve was done. Splint was applied for six weeks after that physiotherapy was started. Dr Adhishwar Sharma MBBS,MS Gen Surgery PGIMER Chd Mch Plastic Surgery Fellowship Hand and Microvascular Surgery brahanandclinic,com 8860650846,adhishwar7@gmail.com

EXPOSED BONE  Wound excision PERFORATOR INDENTIFIED Flap insetted Donor site skin grafted 21  year old young man met with a accident . He suffered severe head injuries ,abdominal injuries and  fracture leg . He was treated conservatively for head injuries and splenic injuries . Leg fracture was with a small wound. It was debrided and VAC therapy was applied for one week . After one week patient was taken up for ORIF and nailing was done. And wound was covered with a VAC After one week patient was planned for flap cover as the wound was bigger. Decision to do gastrocnemius was taken , doppler was done to identify perforator for skin paddle. Skin paddle was marked and elevated along with a muscle and transferred. Flap was insetted and donor site was skin grafted . Dr Adhishwar Sharma MBBS,MS Gen Surgery PGIMER Chd Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery brachialplexus7.blogspot.com brahmanandclinic.com 886...