Reconstructive surgeries in earth quake -- muhammad saaiq
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Reconstructive surgeries in earth quake -- muhammad saaiq

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    Reconstructive surgeries in earth quake -- muhammad saaiq Reconstructive surgeries in earth quake -- muhammad saaiq Presentation Transcript

    • EARLY EXPERIENCE OF RECONSTRUCTIVE SURGERY AMONG EARTHQUAKE SURVIVORS OF 10 / 08 EARTHQUAKE Presenter: Muhammad Saaiq Authors: Muhammad Saaiq , Hameed-ud-din, M.Ibrahim Khan, DEPARTMENT OF PLASTIC & RECONSTRUCTIVE SURGERY, PIMS , ISLAMABAD, PAKISTAN PIMS , ISLAMABAD. Presented at: PIMS Symposium 2006. Pakistan Institute of Medical Sciences (PIMS), Islamabad. March 04, 2006.
    • What kind of Injuries and Defects did we encounter ?
    • Regional distribution of Injuries Thighs Face/Scalp 4% 6% Sacrum 2% Miscellan. 5% Foot 6% Legs 53% Arm/F.arm 12% Hands 12%
    • How did we approach them ?
    • THE RECONSTRUCTIVE LADDER
    • SKIN GRAFTS 1) Split Thickness Skin Graft ( STSG ) Thin (Thiersch graft ) Intermediate thickness Thick graft 2 ) Full Thickness Skin Grafts ( FTSG )
    • VARIOUS GRAFTING TOOLS 1. 3
    • HARVESTING A GRAFT PIC
    • CLASSIFICATION OF FLAPS 1) CONGRUITY : Local , Regional , Distant, Pedicled , Free flap. 2) CONFIGURATION : Advancement , Rotation, Transposition. 3) COMPONENTS : FC, MC,OMC. 4)CIRCULATION : Random pattern , Axial pattern. 5)CONDITIONING e.g. Delay flap. 6) OTHERS.
    • FREE FLAPS RECTUS ABDOMINUS RADIAL FOREARM LATISSIMUS DORSI FREE FIBULA OTHERS
    • LEECHES
    • VAC DRESSING
    • ROTATION FLAP
    • CROSS LEG FLAP
    • RADIAL FOREARM FREE FLAP
    • FREE FIBULA FLAP
    • FREE FIBULA FLAP
    • FREE FIBULA FLAP
    • RECONSTRUCTIVE SURGERIES AMONG EQSs
    • A TOTAL OF 433 OPERATIVE PROCEDURES WERE UNDERTAKEN AMONG THE EQSs DURING THE FIRST 12 WEEKS
    • Sex Distribution ( n = 433 ) Female 60% Male 40%
    • No. of patients Age Distribution ( n= 433 ) 120 100 80 60 40 20 0 11---20 21-30 31-40 41-50 51-60 61-70 Age in Years
    • SURGERIES UNDERTAKEN AMONG EQSs ( n = 433) Surgery No. of patients % 1 FLAPS 69 15.93 % 2 GRAFTS 189 43.64% 175 40.41% 3 MISCELLANEOUS
    • OUTCOME
    • PIC
    • CONCLUSION & MESSAGE
    • THANK YOU