Plastic Surgery & Burns

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Published: 31 January 2015
Last Updated: 04 February 2020
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Department of Plastic Surgery & Burns

Staff Photograph. Download PDF file for more details


 Introduction

 

The term ‘Plastic Surgery’ used for the superspeciality was introduced by Von Graefe and is derived from the Greek work "plastikos" which means ‘fit for moulding’.

Sir Harold Gillies is considered the ‘Father’ of modern Plastic Surgery. However the earliest plastic surgery procedures in the Before Christ era were performed in India.  They were recorded in the writings of Sushruta and published in Sushruta Samhita.

Plastic Surgery consists of two main sub specialities -Reconstructive and Aesthetic.  Reconstructive surgery restores the function and form of tissues which are deformed while Aesthetic surgery attempts to improve the appearance of normal structures.

In Goa Medical College, an independent Department of Plastic Surgery was created in December 2015. However a Plastic Surgery Unit has been in existence since 2006 under the aegis of the Department of Surgery.   The Plastic Surgery services were expanded in 2016 with a 12 bedded ward  which manages patients requiring reconstructive and aesthetic surgical care. On April 2018, a well-equipped state of the art intensive care Burns Unit for management of critical and severely burned patients was commissioned.
The Department provides consultation in the outpatient section No. 5 on Monday and Thursday and also handles inpatients and emergency cases requiring plastic surgical management.

 

VISION

To provide optimal care to patients desiring Plastic Surgery
To introduce post graduate training facilities

 

MISSION

Delivery of evidence based safe plastic surgical services
To establish a centre of academic excellence

 

BE THE DIFFERENCE …THAT MAKES A DIFFERENCE!


Scope

SCOPE OF PLASTIC SURGERY

CLEFT and CRANIOFACIAL SURGERY

Pediatric and adult cleft surgery

Cleft lip and palate repair

Cleft lip scar revision

Palatal fistula repair

Alveolar bone grafting with post-surgical orthodontics

Preschool and secondary rhinoplasty

Velo Pharyngeal Incompetence surgery (Speech improvement surgery)

Craniofacial surgery

Syndromic cleft reconstruction including macrostomia surgery, oro-naso-ocular cleft reconstruction and Pierre Robin syndrome linguo labial adhesion

Scalp reconstruction using pedicled flaps

Acrylic cranioplasty for skull defects

Eyebrow creation

Eyelid coloboma reconstruction

Orbital socket creation for prosthesis

Composite nasal reconstruction

Preauricular tag excision

Microtia reconstruction with costal cartilage graft

Bat ear cosmetic correction

Burn scar resurfacing with flaps

Maxilla/ Frontal augmentation

Composite ear reconstruction

Total/partial lip reconstruction incl. commisuroplasty

 

SKIN RESURFACING /SOFT TISSUE PROCEDURES

Dermabrasion for acne scars, vitiligo

Fat grafting for contouring including scleroderma/facial cleft
 

SCOPE OF PLASTIC SURGERY

HAND SURGERY

Soft tissue reconstruction

Soft tissue repair/ reconstruction of thumb an digits including fingertip and nail reconstruction, osteoplastic thumb reconstruction, microsurgical thumb resurfacing

Microsurgical thumb/finger replantation/ revascularization

Hand/forearm stump revision

Tendon reconstruction

Primary and secondary flexor/ extensor tendon repair and tendon graft reconstruction/tenolysis for tendon adhesions

Tendon transfers for tendon loss or secondary to nerve injuries

Tendon lengthening

Burn hand reconstruction

Thermal burn injury hand-primary skin grafting and splinting

Flexion/extension deformity: wrist/digit release and resurfacing including Swan neck/ Boutonniere and Z deformity thumb reconstruction

Pediatric hand surgery

Congenital hand deformities including syndactyly, polydactyly, brachydactyly, camptodactyly, macrodactyly, radial club hand, cleft hand

Constriction ring release: Z plasty , amputation

Dupuytren's contracture surgery: fasciotomy, fasciectomy

Volkmann ischemic contracture: neurolysis, tendon transfer, release

Miscellaneous

Arthrodesis of digital joints

Ganglion excision
 

SCOPE OF PLASTIC SURGERY

 

NERVE SURGERY

Facial nerve paralysis

Primary and secondary facial nerve repair/ reconstruction with nerve graft

Secondary procedures for facial nerve paralysis including temporalis transfer and static fascia graft suspension for eyelid, mouth closure and symmetry

Brachial plexus surgery

Primary and secondary repair/neurolysis

Secondary surgery including tendon transfers

Peripheral Nerve reconstruction

Peripheral nerve repair and reconstruction/neurolysis and nerve grafting

Distal nerve transfers

Nerve tumor excision/reconstruction

Neuroma surgery: excision

Nerve decompression

Carpal tunnel, ulnar nerve transposition

 

DIABETIC FOOT SURGERY

Posterior tibial neurovascular decompression

Callosity excision

Ulcer excision- offloading, skin grafting, flap reconstruction

Amputation stump revision, neuroma excision

 

VASCULAR ANOMALIES

e.g. hemangiomas, arterial, venous and lymphatic malformations, hamartomas, glomus tumor

Medical therapy, sclerotherapy, cryotherapy

Excision

 

SCOPE OF PLASTIC SURGERY

SOFT TISSUE and BONE RECONSTRUCTION

using skin graft, local, regional, pedicled and microvascular flaps

Malignancy

Post excision reconstruction in head, oral cavity and neck surgery

Post mastectomy breast reconstruction

Sarcoma limb reconstruction

Trauma

Compound fracture upper and lower limb

Degloving injury skin and deeper tissues

Crush and amputation injuries

Pressure ulcer surgery

Sacral, Ischial, Trochanteric, Heel ulcer

 

BURN SURGERY

Acute burn stabilization and resuscitation

Primary escharotomy

Compartment release

Monitoring and staged grafting

Tangential and fascial excision i.e. escharectomy and soft tissue cover with skin graft and flap

Rehabilitation

Z plasty and revision of facial burn scars

Release of contracture with flap/skin graft resurfacing of neck, axilla, elbow, wrist, hip, knee, ankle.

Burn hand reconstruction

Scar modulation

Intralesional steroid, cryotherapy, pressure garments

SCOPE OF PLASTIC SURGERY

GENITALIA SURGERY

Hypospadias surgery including chordee correction

Penile, scrotal and perineal reconstruction with skin graft and flap

Vaginoplasty for congenital aplasia and trauma

 

LYMPHEDEMA

Serial measurements, four layer bandaging, prophylactic antibiotics and sequential compression pump

Debulking and Drainage procedures including lymphatic-venous shunts under magnification

 

AESTHETIC SURGERY

Body contouring

Liposuction and Fat grafting

Abdominoplasty and lower body lift

Brachioplasty

Breast aesthetic surgery

Breast reduction for breast hypertrophy

Mastopexy for breast sagging

Breast augmentation with autologous tissue (fat grafting), implants

Tuberous breast correction

Axillary fat reduction

Facial aesthetic surgery

Hair transplant for thinning hair/hairline recession including tissue expansion in scalp for baldness/scarring

Face and neck lift for facial and neck wrinkles

Blepharoplasty (eyelid surgery)

Aesthetic rhinoplasty: augmentation, reduction, tip plasty

SCOPE OF PLASTIC SURGERY

HANSEN (LEPROSY) SURGERY

Neurolysis for posterior tibial nerve, ulnar nerve, common peroneal nerve

Tendon transfers for foot drop, claw hand, ape thumb

Posterior tibial neurovascular release

 

CHRONIC RENAL FAILURE

Arteriovenous fistula creation

 

DAY CARE PROCEDURES

Scar revision

Skin and soft tissue lesions e.g. Sebaceous cyst/ dermoid, nevus/mole, lipoma, neurofibroma/ dermatofibroma excision

Cryotherapy- for warts, papilloma, superficial vascular lesions

Tattoo excision

Auroplasty

Paronychia , Nerve, muscle, skin, nail biopsy

 

HYPERTROPHIC SCARS AND KELOIDS

Intralesional steroids, Dermajet, Cryotherapy and pressure garments

 

SUPPORTIVE SERVICES

Presurgical orthodontics

VAC therapy for non-healing ulcer

Physiotherapy services

Splinting –static and dynamic

Dressing protocol for non healing wounds

Offloading casts/ protective footwear