Background: Face is the center of attention during communication and the expression of emotion. F... more Background: Face is the center of attention during communication and the expression of emotion. Facial defects resulting from trauma and the excision of skin malignancies are relatively common. How this defect is treated is determined by a variety of factors including the location, size and the underlying cause of the defect, the projected functional morbidity, the medical history of the patient, and feasibility of surgery. Aim was to study various local flaps using for coverage of defect, outcomes and complications.Methods: This was a retrospective cohort study. Our study shows result of 92 patients during January 2016 to December 2019 who had facial defects were taken up for the study. Reconstructive options were selected depending on defect size, location. Follow-up of patients ranged from 6 months to 1 year.Results: The most common malignant tumors of the face are basal cell carcinoma, squamous cell carcinoma and melanoma. Local flap is always preferable than skin grafts as it p...
The commonest complication of hypospadias repair is occurrence of urethrocutaneous fi stulae. The... more The commonest complication of hypospadias repair is occurrence of urethrocutaneous fi stulae. These fi stulae may be caused by a variety of factors and occur in different sizes at various sites of the previous repair. Small fi stulae are easier to close with local tissue and fl aps but larger fi stulae which are 4 mm or more in size are diffi cult to close because of the paucity of available tissues and chances of recurrence. A variety of methods have been described in the literature for the repair of urethrocutaneous fi stulae with variable results. In this study of 23 cases, we have successfully repaired large urethrocutaneous fi stulae using dartos-based fl ip fl aps for their closure in the period from June 2001 to May 2006. These fl aps can cover any fi stulae from the penoscrotal region to the distal penile shaft. Dartos-based fl ip fl aps are robust and vascularized and provide watertight closure and at the same time they are easy to elevate and leave no residual donor site morbidity.
A case report of reconstruction of a post infective alar rim defect, in a girl of 13 years of age... more A case report of reconstruction of a post infective alar rim defect, in a girl of 13 years of age, occurring as a result of septic piercing of the nose, using a composite graft taken from the ear in a single stage is described.
The organ epididymis is secured the name considering it functioned as an appendix to the testis; ... more The organ epididymis is secured the name considering it functioned as an appendix to the testis; earlier testis was called as didymi. Regarding the length of human epididymis, several values are attributed by different authors. The present study was aimed to find out the pattern, total length and inner surface area of human epididymis. The study was conducted by employing microsurgical procedures on five testes from unclaimed human dead bodies. Caput was formed by few tubes interconnecting at three levels. These tubes led to corpus, which in turn was having more number of tubes interconnecting at different levels. Tubules were many looking like a mesh. United tubes of corpus form the single tube to form cauda. Epididymis length was 30.48 cm. Inner surface area was 818.16 mm2. Reported values of others seem to be a modified version from that of animals. Authors believe that organic revolutionary changes in man led to a reduction in the length of epididymis.
Background: Face is the center of attention during communication and the expression of emotion. F... more Background: Face is the center of attention during communication and the expression of emotion. Facial defects resulting from trauma and the excision of skin malignancies are relatively common. How this defect is treated is determined by a variety of factors including the location, size and the underlying cause of the defect, the projected functional morbidity, the medical history of the patient, and feasibility of surgery. Aim was to study various local flaps using for coverage of defect, outcomes and complications.Methods: This was a retrospective cohort study. Our study shows result of 92 patients during January 2016 to December 2019 who had facial defects were taken up for the study. Reconstructive options were selected depending on defect size, location. Follow-up of patients ranged from 6 months to 1 year.Results: The most common malignant tumors of the face are basal cell carcinoma, squamous cell carcinoma and melanoma. Local flap is always preferable than skin grafts as it p...
The commonest complication of hypospadias repair is occurrence of urethrocutaneous fi stulae. The... more The commonest complication of hypospadias repair is occurrence of urethrocutaneous fi stulae. These fi stulae may be caused by a variety of factors and occur in different sizes at various sites of the previous repair. Small fi stulae are easier to close with local tissue and fl aps but larger fi stulae which are 4 mm or more in size are diffi cult to close because of the paucity of available tissues and chances of recurrence. A variety of methods have been described in the literature for the repair of urethrocutaneous fi stulae with variable results. In this study of 23 cases, we have successfully repaired large urethrocutaneous fi stulae using dartos-based fl ip fl aps for their closure in the period from June 2001 to May 2006. These fl aps can cover any fi stulae from the penoscrotal region to the distal penile shaft. Dartos-based fl ip fl aps are robust and vascularized and provide watertight closure and at the same time they are easy to elevate and leave no residual donor site morbidity.
A case report of reconstruction of a post infective alar rim defect, in a girl of 13 years of age... more A case report of reconstruction of a post infective alar rim defect, in a girl of 13 years of age, occurring as a result of septic piercing of the nose, using a composite graft taken from the ear in a single stage is described.
The organ epididymis is secured the name considering it functioned as an appendix to the testis; ... more The organ epididymis is secured the name considering it functioned as an appendix to the testis; earlier testis was called as didymi. Regarding the length of human epididymis, several values are attributed by different authors. The present study was aimed to find out the pattern, total length and inner surface area of human epididymis. The study was conducted by employing microsurgical procedures on five testes from unclaimed human dead bodies. Caput was formed by few tubes interconnecting at three levels. These tubes led to corpus, which in turn was having more number of tubes interconnecting at different levels. Tubules were many looking like a mesh. United tubes of corpus form the single tube to form cauda. Epididymis length was 30.48 cm. Inner surface area was 818.16 mm2. Reported values of others seem to be a modified version from that of animals. Authors believe that organic revolutionary changes in man led to a reduction in the length of epididymis.
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