The COVID19 is spreading rapidly and one of the most important steps in minimizing the spread of ... more The COVID19 is spreading rapidly and one of the most important steps in minimizing the spread of infection is social distancing. Telemedicine can play a vital role in enabling social distancing in healthcare. The Telemedicine consultation needs a telemedicine kiosk. The commercially available kiosk is very costly, in this article we are sharing our experience of making a telemedicine kiosk using the materials available in our department and ward. Keywords: COVID 19, Telemedicine, Telemedicine kiosk.
Alcohol intoxication is a major problem in the country. Most burn patient fatalities present with... more Alcohol intoxication is a major problem in the country. Most burn patient fatalities present with history of alcohol intoxication and those who recover from the acute phase, alcohol intoxication increases the chance of infection and morbidity as well as mortality. Due to the effect of intoxication, a patient seems to be oblivious to the occurrence and thereby increases the incidence of deep burns. In this article we would like to share our experience regarding correlation between alcohol intoxication and deep burns.
Non healing ulcers need optimum wound-care practises. Pain and poor quality of life, and poor out... more Non healing ulcers need optimum wound-care practises. Pain and poor quality of life, and poor outcome have significant negative impact on health, psychological and social life. They can last anywhere from a few weeks to several years., , Cellulitis, osteomyelitis, and malignant transformation are all serious consequences. Although the general occurrence of these ulcers is modest, their refractory nature increases the risk of morbidity and mortality, as well as having a major impact on patient’s quality of life., Here we report a case of non-healing knee ulcer with the use of hybrid reconstruction ladder to manage the ulcer.
Introduction Although the negative pressure wound therapy (NPWT) is a time tested method of wound... more Introduction Although the negative pressure wound therapy (NPWT) is a time tested method of wound preparation, the role of NPWT with instillation and dwell time (NPWTi-d) in decreasing the downtime of wound preparation needs to be evaluated. Objective The objective of this study is assess the role of NPWTi-d in wound bed preparation. Materials and Methods This study was conducted in a tertiary care center, after getting informed consent and ethical clearance. NPWTi-d was done on a 36-years-old female with no known co-morbidities admitted with infected raw area over the right below knee amputation stump and exposed bone who was not responding well to conventional wound dressing. NPWT was applied with the help of sterile polyurethane sponge and two tubes. The antimicrobial solution used was ionic silver solution, just enough to wet the sponge completely and up to the point when the transparent occlusive covering begins to lift. Negative pressure was applied at 125 mmHg. The wound was ...
The keystone flap is a new flap design that has been added to the arsenal of cosmetic surgeons. T... more The keystone flap is a new flap design that has been added to the arsenal of cosmetic surgeons. The keystone flap is a type of flap that can be used to close soft tissue abnormalities using the local skin. It can be employed in a variety of situations. In the care of a keystone flap to repair a deficiency over the lower limb defect following a road traffic accident, we used closed incision negative pressure therapy.
Electric burns are known to be difficult in healing as well as wound management. Infection in suc... more Electric burns are known to be difficult in healing as well as wound management. Infection in such chronic wounds can be detrimental and hence needs to be controlled for faster improvement. These chronic wounds also lack various chemokines and growth factors and needs to be supplemented. This article highlights the role of topical cholecalciferol in the management of electric burns.
Healthcare forms a novel field of technological development. Smart watches and smart bands which ... more Healthcare forms a novel field of technological development. Smart watches and smart bands which are in widespread use help in monitoring the health status of the wearer and have found many uses including monitoring of pulse rate, oxygen levels, number of footsteps, calorie calculator. New series Apple TMsmart watches can generate, record, and interpret ECG within seconds in an easier and reliable method. Hence it has the potential to transform healthcare.
The surgical site infection is one of the important causes of morbidity in admitted patients. It ... more The surgical site infection is one of the important causes of morbidity in admitted patients. It adversely affects the healthcare system. All surgical subspecialties are affected by it. The plastic and reconstructive surgery is a branch that deals with almost all parts of the body. The data of surgical site infection in plastic surgery is less commonly mentioned in the literature. The aim of this study was to assess the incidence of SSI in a tertiary care centre of India.
Alcohol intoxication is a major problem in the country. Most burn patient fatalities present with... more Alcohol intoxication is a major problem in the country. Most burn patient fatalities present with history of alcohol intoxication and those who recover from the acute phase, alcohol intoxication increases the chance of infection and morbidity as well as mortality. Due to the effect of intoxication, a patient seems to be oblivious to the occurrence and thereby increases the incidence of deep burns. In this article we would like to share our experience regarding correlation between alcohol intoxication and deep burns.
The COVID-19 pandemic has changed the way plastic surgeons treat their patients. Lockdown was int... more The COVID-19 pandemic has changed the way plastic surgeons treat their patients. Lockdown was introduced and all elective surgeries were cancelled and only emergency procedures were done during the time of corona pandemic. Patients were followed up through telemedicine consultations using various mobile devices and web-based tools. Teaching programmes were also channelled through web-based tools in the form of webinars. Various measures were taken to uphold the norms of social distancing. Here we describe our experience regarding the way our department functioned at the time of corona pandemic.
The COVID19 is spreading rapidly and one of the most important steps in minimizing the spread of ... more The COVID19 is spreading rapidly and one of the most important steps in minimizing the spread of infection is social distancing. Telemedicine can play a vital role in enabling social distancing in healthcare. The Telemedicine consultation needs a telemedicine kiosk. The commercially available kiosk is very costly, in this article we are sharing our experience of making a telemedicine kiosk using the materials available in our department and ward. Keywords: COVID 19, Telemedicine, Telemedicine kiosk.
Alcohol intoxication is a major problem in the country. Most burn patient fatalities present with... more Alcohol intoxication is a major problem in the country. Most burn patient fatalities present with history of alcohol intoxication and those who recover from the acute phase, alcohol intoxication increases the chance of infection and morbidity as well as mortality. Due to the effect of intoxication, a patient seems to be oblivious to the occurrence and thereby increases the incidence of deep burns. In this article we would like to share our experience regarding correlation between alcohol intoxication and deep burns.
Non healing ulcers need optimum wound-care practises. Pain and poor quality of life, and poor out... more Non healing ulcers need optimum wound-care practises. Pain and poor quality of life, and poor outcome have significant negative impact on health, psychological and social life. They can last anywhere from a few weeks to several years., , Cellulitis, osteomyelitis, and malignant transformation are all serious consequences. Although the general occurrence of these ulcers is modest, their refractory nature increases the risk of morbidity and mortality, as well as having a major impact on patient’s quality of life., Here we report a case of non-healing knee ulcer with the use of hybrid reconstruction ladder to manage the ulcer.
Introduction Although the negative pressure wound therapy (NPWT) is a time tested method of wound... more Introduction Although the negative pressure wound therapy (NPWT) is a time tested method of wound preparation, the role of NPWT with instillation and dwell time (NPWTi-d) in decreasing the downtime of wound preparation needs to be evaluated. Objective The objective of this study is assess the role of NPWTi-d in wound bed preparation. Materials and Methods This study was conducted in a tertiary care center, after getting informed consent and ethical clearance. NPWTi-d was done on a 36-years-old female with no known co-morbidities admitted with infected raw area over the right below knee amputation stump and exposed bone who was not responding well to conventional wound dressing. NPWT was applied with the help of sterile polyurethane sponge and two tubes. The antimicrobial solution used was ionic silver solution, just enough to wet the sponge completely and up to the point when the transparent occlusive covering begins to lift. Negative pressure was applied at 125 mmHg. The wound was ...
The keystone flap is a new flap design that has been added to the arsenal of cosmetic surgeons. T... more The keystone flap is a new flap design that has been added to the arsenal of cosmetic surgeons. The keystone flap is a type of flap that can be used to close soft tissue abnormalities using the local skin. It can be employed in a variety of situations. In the care of a keystone flap to repair a deficiency over the lower limb defect following a road traffic accident, we used closed incision negative pressure therapy.
Electric burns are known to be difficult in healing as well as wound management. Infection in suc... more Electric burns are known to be difficult in healing as well as wound management. Infection in such chronic wounds can be detrimental and hence needs to be controlled for faster improvement. These chronic wounds also lack various chemokines and growth factors and needs to be supplemented. This article highlights the role of topical cholecalciferol in the management of electric burns.
Healthcare forms a novel field of technological development. Smart watches and smart bands which ... more Healthcare forms a novel field of technological development. Smart watches and smart bands which are in widespread use help in monitoring the health status of the wearer and have found many uses including monitoring of pulse rate, oxygen levels, number of footsteps, calorie calculator. New series Apple TMsmart watches can generate, record, and interpret ECG within seconds in an easier and reliable method. Hence it has the potential to transform healthcare.
The surgical site infection is one of the important causes of morbidity in admitted patients. It ... more The surgical site infection is one of the important causes of morbidity in admitted patients. It adversely affects the healthcare system. All surgical subspecialties are affected by it. The plastic and reconstructive surgery is a branch that deals with almost all parts of the body. The data of surgical site infection in plastic surgery is less commonly mentioned in the literature. The aim of this study was to assess the incidence of SSI in a tertiary care centre of India.
Alcohol intoxication is a major problem in the country. Most burn patient fatalities present with... more Alcohol intoxication is a major problem in the country. Most burn patient fatalities present with history of alcohol intoxication and those who recover from the acute phase, alcohol intoxication increases the chance of infection and morbidity as well as mortality. Due to the effect of intoxication, a patient seems to be oblivious to the occurrence and thereby increases the incidence of deep burns. In this article we would like to share our experience regarding correlation between alcohol intoxication and deep burns.
The COVID-19 pandemic has changed the way plastic surgeons treat their patients. Lockdown was int... more The COVID-19 pandemic has changed the way plastic surgeons treat their patients. Lockdown was introduced and all elective surgeries were cancelled and only emergency procedures were done during the time of corona pandemic. Patients were followed up through telemedicine consultations using various mobile devices and web-based tools. Teaching programmes were also channelled through web-based tools in the form of webinars. Various measures were taken to uphold the norms of social distancing. Here we describe our experience regarding the way our department functioned at the time of corona pandemic.
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