This document summarizes reconstructive surgeries performed on earthquake survivors from the 2008 Pakistan earthquake. It describes that the majority of injuries were to the legs, with over 400 total operative procedures undertaken in the first 12 weeks, consisting mainly of skin grafts and flaps to repair tissue defects. Free flaps using tissues like the radial forearm and fibula were also used. The document outlines the reconstructive ladder approach used and classifies different graft and flap techniques, showing generally positive outcomes from the reconstructive surgeries.

1. EARLY EXPERIENCE OFEARLY EXPERIENCE OF
RECONSTRUCTIVE SURGERYRECONSTRUCTIVE SURGERY
AMONG EARTHQUAKE SURVIVORSAMONG EARTHQUAKE SURVIVORS
OF 10 / 08 EARTHQUAKEOF 10 / 08 EARTHQUAKE
Presenter: Dr Muhammad Saaiq
Authors:
Muhammad Saaiq, M.Ibrahim Khan,
PIMS , ISLAMABAD.
Presented at: PIMS Symposium 2006. Pakistan Institute of Medical Sciences
(PIMS), Islamabad. March 04, 2006.

2. What kind of Injuries and
Defects
did we encounter ?

12. PICPIC
PIC

13. Regional distribution of Injuries
Legs
53%
Hands
12%
Arm/F.arm
12%
Foot
6%
Face/Scalp
6%
Miscellan.
5%
Sacrum
2%
Thighs
4%

14. How did we approach the
Defects ?

15. THE RECONSTRUCTIVE LADDERTHE RECONSTRUCTIVE LADDER

16. SKIN GRAFTSSKIN GRAFTS
1) Split Thickness Skin Graft ( STSG )
Thin (Thiersch graft )
Intermediate thickness
Thick graft
2 ) Full Thickness Skin Grafts ( FTSG )

17. VARIOUS GRAFTING TOOLSVARIOUS GRAFTING TOOLS
1.
3

18. HARVESTING A GRAFTHARVESTING A GRAFT
PIC

19. CLASSIFICATION OF FLAPSCLASSIFICATION 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.

20. FREE FLAPSFREE FLAPS
RECTUS ABDOMINUS
RADIAL FOREARM
LATISSIMUS DORSI
FREE FIBULA
OTHERS

21. VAC DRESSINGVAC DRESSING

22. LEECHESLEECHES

24. ROTATION FLAPROTATION FLAP

25. CROSS LEG FLAPCROSS LEG FLAP

26. RADIAL FOREARM FREE FLAPRADIAL FOREARM FREE FLAP

27. FREE FIBULA FLAPFREE FIBULA FLAP

28. FREE FIBULA FLAPFREE FIBULA FLAP

29. FREE FIBULA FLAPFREE FIBULA FLAP

31. RECONSTRUCTIVE SURGERIESRECONSTRUCTIVE SURGERIES
AMONGAMONG EQSsEQSs

32. A TOTAL OF
433
OPERATIVE PROCEDURES
WERE UNDERTAKEN AMONG THE EQSs
DURING THE FIRST 12 WEEKS

33. Sex Distribution ( n = 433 )
Male
40%Female
60%

34. Age Distribution ( n= 433 )
0
20
40
60
80
100
120
11---20 21-30 31-40 41-50 51-60 61-70
Age in Years
No.ofpatients

35. SURGERIES UNDERTAKEN AMONGSURGERIES UNDERTAKEN AMONG EQSsEQSs
( n =( n = 433433))
Surgery No. of patients %
1 FLAPS 69 15.93 %
2 GRAFTS 189 43.64%
3 MISCELLANEOUS 175 40.41%

36. OUTCOMEOUTCOME

37. PICPIC

42. CONCLUSION
&
MESSAGE

43. THANK YOUTHANK YOU