EARLY EXPERIENCE OF
RECONSTRUCTIVE SURGERY
AMONG EARTHQUAKE SURVIVORS
OF 10 / 08 EARTHQUAKE
Presenter: Muhammad Saaiq
Auth...
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...
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 Thic...
VARIOUS GRAFTING TOOLS

1.

3
HARVESTING A GRAFT
PIC
CLASSIFICATION OF FLAPS
1) CONGRUITY : Local , Regional , Distant, Pedicled
, Free flap.
2) CONFIGURATION : Advancement , ...
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...
OUTCOME
PIC
CONCLUSION
&
MESSAGE
THANK YOU
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
Reconstructive surgeries in earth quake -- muhammad saaiq
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

  1. 1. 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.
  2. 2. What kind of Injuries and Defects did we encounter ?
  3. 3. Regional distribution of Injuries Thighs Face/Scalp 4% 6% Sacrum 2% Miscellan. 5% Foot 6% Legs 53% Arm/F.arm 12% Hands 12%
  4. 4. How did we approach them ?
  5. 5. THE RECONSTRUCTIVE LADDER
  6. 6. SKIN GRAFTS 1) Split Thickness Skin Graft ( STSG ) Thin (Thiersch graft ) Intermediate thickness Thick graft 2 ) Full Thickness Skin Grafts ( FTSG )
  7. 7. VARIOUS GRAFTING TOOLS 1. 3
  8. 8. HARVESTING A GRAFT PIC
  9. 9. 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.
  10. 10. FREE FLAPS RECTUS ABDOMINUS RADIAL FOREARM LATISSIMUS DORSI FREE FIBULA OTHERS
  11. 11. LEECHES
  12. 12. VAC DRESSING
  13. 13. ROTATION FLAP
  14. 14. CROSS LEG FLAP
  15. 15. RADIAL FOREARM FREE FLAP
  16. 16. FREE FIBULA FLAP
  17. 17. FREE FIBULA FLAP
  18. 18. FREE FIBULA FLAP
  19. 19. RECONSTRUCTIVE SURGERIES AMONG EQSs
  20. 20. A TOTAL OF 433 OPERATIVE PROCEDURES WERE UNDERTAKEN AMONG THE EQSs DURING THE FIRST 12 WEEKS
  21. 21. Sex Distribution ( n = 433 ) Female 60% Male 40%
  22. 22. 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
  23. 23. 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
  24. 24. OUTCOME
  25. 25. PIC
  26. 26. CONCLUSION & MESSAGE
  27. 27. THANK YOU

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