Plastic Surgery Experience
Having worked in different regional centres He has been exposed to various aspects of Plastic Surgery.
A. Basic Plastic Surgery
Starting from basic superficial and full thickness grafts to designing of local and regional flaps, He has performed all varieties of grafts and various flaps described in books and published in recent journals.
Having worked in several regional major burns centres, he has been exposed to all kind of major burns, he has tackled alone all types of major burns right from initial resuscitation to operative management through to post operative period. This includes various forms of burns surgery including grafting of cultured skin. He has managed the short and long term complications of burns including different forms of surgery for burns contracture, reconstruction of burns deformities with tissue expanders and other procedures for functional and cosmetic enhancement of burns deformities. Together with Physiotherapist and Occupational Therapist He has planned short and long term rehabilitation of burn patients.
C. Paediatric Plastic Surgery
He has performed operations of cleft lip, cleft palate, palatal fistula, velopharyngeal incompetence, cleft lip nasal deformity. He has assisted in bone grafting of unfused pre-maxilla. He has been involved with multi-disciplinary approach of clefts and adjuvant speech and orthodontic treatment.
Having worked for a short period in the Craniofacial Unit in Oxford and London he has assisted in operations of craniosynostosis, orbital hyperteleorism, hemifacial microsomia and some rare craniofacial clefts. He has been involved with A-O fixation of maxillofacial injuries.
(iii)Congenital Deformities of Ear:
He has performed operations on microtia, lop ear, cup ear, cauliflower ear etc.
He has performed different procedures on hypospadius, hypospadius fistula, congenital short urethra etc. He has been involved with ureteroplasty, operations on agenesis of vagina and treatment of ambiguous genitalia. He has been involved with management of intersex problems and gender reassignment.
(v) Facial Injuries:
He has dealt with all types of soft tissue injuries of face including injuries on facial nerve.
(vi)Tumours of head and neck:
He has been involved with management of cystic hygroma, performed operations on thyroglossal tract anomalies, brachial arch anomalies etc.
He has performed some operations of ptosis.
He has been involved with surgical treatment of congenital facial paralysis. He has also been involved with surgery of drooling in cerebral palsy.
He has managed developmental breast anomalies, pectus excavatum, tissue expanders, and spinal dysraphism.
He has performed operations on mutilated hands, tendon and nerve reconstruction, replantation, congenital hand problems as syndactyly, polydactyly, macrodactyly, camptodactyly, and clinodactyly. I have assisted in congenital club hands, pollicisation and composite free tissue transfer.
He has performed different varieties of reconstructive surgery.
D. Cosmetic Surgery
He has enhanced the looks of people by performing
He has performed procedures of chin and malar region with implants and also been involved with maxillofacial surgery. He has performed Facelift, Otoplasty, Blepharoplasty, Forehead and Brow Lift Chelioplasty, dermabrasion.
He has performed septorhinoplasty, aesthetic procedures on nasal tip, post traumatic nasal deformities and secondary rhinoplasty.
He has performed breast augmentation, breast reduction by different procedures, mastopexy, operations on gynaecomastia and correction of asymmetrical breasts.
He has performed face and neck lifts on cosmetic and non-cosmetic cases. He has performed submental lipectomy and plication of platysymal bands. He has been involved with several extended SMAS face-lifts and sub-periosteal face lifts. He has been taught endoscopic face and brow lifts.
He has performed abdominoplasty, suction lipectomy both with traditional methods and the new tulip apparatus, arm and thigh reduction ,medial thigh lift and contouring of buttocks.
E. Head & Neck Surgery
(i) Scalp/ Skull/ Forehead/ Eyebrow:
He has managed aplasia cutis conjenita, trauma to scalp, forehead and eyebrow. He has been involved with partial craniectomy and reconstruction of skull and scalp defects.
He has performed reconstruction of eyelids and ptosis correction. He has been involved with trauma to orbit, reconstruction of orbit after exenteration and excision and reconstruction of orbit.
He has performed various types of surgery for external ear malformations, microtia, macrotia and cryptotia, shell ear and satyr ear. He has performed reconstruction of ear by various procedures.
He has performed excision of skin tumours and reconstruction of nose by various means. He has performed augmentation by bone and cartilage grafts.
He has been involved with operations of lateral facial clefts, hemifacial microsomia. He has performed superficial and total parotidectomy. He has been involved with mandibulectomy, maxillectomy followed by pedicled and free composite tissue reconstruction. He has performed excision of malignancies followed by reconstruction with flaps like deltopectoral flap, lattisimus dorsi flap, scalping flap and free flap as radial forearm flap.
(vi)Lips and Chin:
In addition to cleft lip and palate He has performed reconstruction of lip. He has been involved with sliding genioplasty. He has performed chin and malar augmentation.
(vii) Oral Cavity/Pharynx:
He has operated on ankyloglossia, macroglossia and cleft tongue. I have been involved with surgery for drooling. He has been involved and in some cases performed major excision and reconstruction both by pedicled and free flaps. He has performed tongue flaps in closure of end palatal fistula.
I n addition to developmental defects in neck as branchial arch anomalies, webbing of neck, He has performed several radical neck dissections.
F. Hand Surgery
He has performed all types of amputations.
He has performed all types of small joint arthodesis including joint replacement as Swansons and Harrison peg. He has performed Stanley pin fusion of wrist and assisted in four corner fusion of the wrist.
He has been involved with correction of club hands, pollicisation, management of cleft hand. He has performed operations of syndactyly, polydactyly, camptodactyly etc.
He has performed operations of palmer fasciectomy, release of carpal tunnel, burns contracture release and release of intrinsic contracture.
He has managed reflex sympathetic dystrophy.
He has performed operations of external as well as internal reduction with internal fixation including A-O system of plating. He has performed bone grafts and Herbert Screw.
(vii) He has managed treatment of all infections including drainage.
He has performed micro neural repair and nerve grafting, dealt with neuromas and compression neuropathies.
He has performed repair of tendons, tendon grafts, Hunters's rod.He has performed different types of tendon transfer. He has performed opponensplasty and other forms of tendon reconstruction. He has performed trapezectomy with sling procedure.
He has dealt with skin, bony, soft tissue tumours including ganglion.
He has dealt with all kinds of hand trauma right from simple tendon and nerve reconstruction to complicated injuries of nerves. This also includes management of mutilated hand and replantation.
He has been taught wrist arthroscopy.
He has performed micro neural, micro vascular anastomosis and replantation. He has been involved with free composite tissue transfer, free muscle transfer, vascularized bone grafts, toe-to-thumb transfers. Sometimes He has raised flaps for free flaps.
He has performed reconstruction of breast, chest wall defects, soft tissue defects of the lower extremity, various operations on lymph oedema, reconstruction of defects as a result of pressure sores, reconstruction of eyelids, reconstruction of traumatic severed ear and reconstruction of head and neck regions. He has seen free colonic reconstruction.
J. Other Trauma
He has repaired pre-tibial lacerations, operated on different varieties of soft tissue injuries of the face, done different flaps on lower extremity.
K. Skin Malignancies
He has operated on basal cell carcinoma, squamous cell carcinoma and malignant melanoma and other rare tumours including Merkel Cell Tumour followed by reconstruction.