Flaps
It is a lesser known fact that Plastic Surgery intervention is required for the definitive management of many common and recurrent surgical problems.
AXILLARY HIDRADENITIS
Recurrent axillary hidraneditis requires complete excision f not only the sinus nut the whole hair bearing area and flap cover.
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PILONIDAL SINUS
Pre-Op –Recurrent pilonidal sinus in a young patient, underwent excision of the area with Z-Plasty Flap cover.
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Post-Op
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Pre-Op – similar patient, underwent excison of the sinus with Limberg Flap cover.
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Post-Op
TRAUMA
Degloving injury with open elbow joint reconstructed with free ALT flap
Pre-Op
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Post-Op
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TROPHIC ULCERS
Long standing trophic ulcer in a patient with diabetic neuropathy. Underwent debridement of the ulcer with definitive management as Free Myocuatneous flap coverAnterolateral thigh with part of vastus lateralis muscle.
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UNSTABLE SCARS
Pre-Op – Unstable scar following secondary healing of RTA- in childhood, resulting in severe scarring and limitation of ankle movements.
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Definitive management- underwent free ALT microvascular flap cover with betterfunctional joint mobility.
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PRESSURE SORES
Sacral pressure sore – rotation flap cover after initial debridement
Pre-Op
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Post-Op
ISCHIAL PRESSURE SORE
Pre Op– Ischial pressure sore in a case of traumatic Paraplegic, bone deep. Debridement with excision of the whole bursa and muscle flap raised to cushion the ischial tuberosity with medially based posterior thigh fascia-cutaneous flap to cover the defect.
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Post Op
