Various Procedure
Rheumatology related procedures
Intra Articular Injection
An intra-articular joint injection is a common therapeutic procedure, which aims to reduce pain and inflammation in a joint from a condition like arthritis.
Nerve Biopsy
A nerve, skin, muscle or other tissue biopsy usually is a simple outpatient procedure. For a nerve biopsy, a local anesthetic is used to numb the area. In this procedure, the doctor makes a small incision and removes a portion of the nerve, usually from the ankle or the calf.
Muscle Biopsy
In medicine, a muscle biopsy is a procedure in which a piece of muscle tissue is removed and examined microscopically. A muscle biopsy can lead to the discovery of problems with the nervous system, connective tissue, vascular system, or musculoskeletal system.
Plastic Surgery Related Procedures
Intra Articular Injection
Congenital hand deformities
Separation of Fused fingers/ syndactyly
Polydactyly / Surgery for Extra digit
Traumatic deformity correction
Fingertip injury repair
Nail avulsion injury repair
Nail avulsion injuries are very painful and need meticulous repair to avoid pain in postoperative period and hasten recovery .
Amputed digit replantation and reconstruction
Amputed digits can be replanted with Microsurgical technique if the amputed part is properly preserved and brought along with the patient to the emergency room.
Crush / Fractured hand fixation
Hand crush injuries are commonly encountered due to vehicular accidents and industrial accidents. It often needs fixation of bone fractures, repair of tendons , nerves, blood vessels and skin coverage. Patient needs physiotherapy in postoperative period.
Tendon ,nerve and vascular injury repairs of hand and forearm injuries
Surgical correction of Clawing due to nerve injury
Burn related Finger and hand contracture release and wound management
Arthritis related hand deformity corrections
Rheumatoid arthritis affects hand joints before any other joint in the body which include wrists and finger joints . Arthritis causes joint swelling , stiffness and deformity resulting in restricted hand movements. Patients find it difficult to perform simple activities of daily living . Many patients become dependent on other family members for simple activities.
Though rheumatological medicines halt the progress of the disease but the joint destruction which has already taken place needs to be surgically dealt with . Patients find improvement in hand movements so that they can perform simple activities of living by themselves.
Miscellaneous
Carpal tunnel release surgery
Compression of median nerve in the fibro osseus tunnel causes tingling numbness ,pain and weakness in the hand and forearm . The symptoms are variable but are more commonly felt upon working and at nights . Carpal tunnel release surgery provides relief from the distressing symptoms with improvement of hand power.
Dupuytren’s contracture release
Dupuytrens contracture usually affect older individuals in which a contracture band forces the ring finger or little finger into gradual flexion . Holding of objects , forming a grip become difficult as the contracture progresses. Contracture can be released under local anesthesia and offers good improvement in had function.
Trigger finger release
AV fistula creation for dialysis at wrist / elbow level
An arteriovenous fistula is created at the wrist level and elbow levels in kidney failure patients so as to subject them to dialysis. We use the Microsurgical technique to create fistulas resulting in a good patency rate.
Surgery for Hand swellings / Abscesses
Hand swelling can be benign or malignant. Most swellings cause pain and interference with hand function. Hand swellings need excision with careful planning. Management 0f Undiagnosed Hand pain
Management 0f Undiagnosed Hand pain
Foot Related Procedures
Foot fracture fixations
Foot deformity corrections for hammer toe, rheumatoid foot deformities
Macrodactyly correction
Reconstructive surgery for foot drop
MANAGEMENT OF NONHEALING ULCERS
Gangrene of foot and toes
Obstruction in distal circulation due to atherosclerosis, trauma, infection may cause day or wet gangrene of toes , feet extending to the proximal limb. Surgical intervention in the form of revascularization or amputation are often necessary to avoid spread of the infection following gangrene
Management of lymphoedema
Management of Varicose veins
Dilated and tortuous leg veins cause symptoms like dragging pain , ulcer formation on affected leg which fails to heal. Varicose veins can be treated with minimally invasive procedures to decrease postoperative discomfort . Surgical correction of Wrist drop due to nerve injury.
Surgical correction of Wrist drop due to nerve injury
Management of pressure sores/ Bed sores
MANAGEMENT OF STERNAL WOUND DEHISCENCE
Cosmetic Procedures
HAIR RESTORATION (HAIR TRANSPLANTATION)
Although hair pattern loss is hereditary , changing lifestyle habits, stress have aggravated the process in many male and female individuals. Hair can be restored using medical as well as surgical management. Most patients respond to medical therapy but hair transplantation is a permanent solution for scalp hair loss. In hair transplantation , hair are harvested from the posterior and sides of scalp in order to cover bald frontal or vertex region.
FACE LIFT
It is a procedure to surgically restore elasticity and youthfulness of facial skin which becomes loose and saggy with age.
THREAD LIFT
A thread lift is a minimally invasive procedure wherein temporary sutures are being used to achieve a visible lift of the facial skin.
GYNECOMASTIA CORRECTION (Enlarged male breast)
In some men breast develop to an appreciable size during puberty and adolescence, causing social embarrassment. This problem can be solved using minimal invasive technique for fat and gland excision.
ABDOMINOPLASTY (TUMMY TUCK)
Women in the post pregnancy phase or those who have gained weight or have lost weight benefit from Abdominoplasty. Abdominoplasty involves removal of excess fat with the help of liposuction followed by tightening of abdominal wall musculature.
LIPOSUCTION or FAT REMOVAL
It is an effective way to remove unwanted fat . Fat gets collected on the abdomen, hips, thighs, buttocks , arms and under the chin which, can be removed with liposuction.
Scar corrections or Scar revisions
Scars on face, limbs and trunk are made less noticeable and disfigurement is minimized. They are done under local anesthesia or general anesthesia.
EAR CORRECTION SURGERY ( OTOPLASTY)
In some individuals ears are seen unusually protruding. Children are often bullied at schools for having protruding ears. In otoplasty , protruding ears are surgically corrected to make them appear normal.
LIP REDUCTION
Lip reduction is done to reduce the size of lips which are thick.Lip reduction is done under local anesthesia with or without sedation.
LIP ENHANCEMENT
This procedure aims to increase the lip fullness through enlargement using fillers.
EYELID LIFT ( BLEPHAROPLASTY)
Upper and lower eyelid wrinkles appear due to aging. This procedure involves excision of tissue from the eyelid inorder to tighten the eyelid.
BOTOX AND FILLER INJECTIONS
DIMPLE CREATION
Dimple enhance facial beauty. Not everyone is blessed with a dimple on the cheek. Dimple creation is performed under local anesthesia.
EYELID LIFT ( BLEPHAROPLASTY)
Performed with Laser or surgery.
BUCCAL FAT EXTRACTION OR CHEEK FAT REMOVAL
Buccal fat extraction is done for prominent cheeks to give a sleek look to the face. The typical approach for removing the buccal fat pad is through an intraoral incision in the mouth.
BUCCAL FAT EXTRACTION OR CHEEK FAT REMOVAL
Buccal fat extraction is done for prominent cheeks to give a sleek look to the face. The typical approach for removing the buccal fat pad is through an intraoral incision in the mouth.
BREAST REDUCTION
Enlarged , voluminous breasts can cause a backache and discomfort may be felt wearing a bra. In breast reduction surgery, breast tissue,fat and excess skin are removed followed by reshaping of the breast . The sutures are placed in such a manner that they are barely visible . Resulting scars are hidden and may fade after about a year
MASTOPEXY
Mastopexy, sagging breasts are tightened and reshaped while, nipple and areaola are relocated higher up. An implant may have to be introduced to tighten the breast during same surgery.
RHINOPLASTY
Nose forms the central unit of the face . It has an aesthetic and functional contribution. Some patients may suffer from nasal obstruction or nasal deformities. Rhinoplasty involves correction of deformities like nasal deviation, humps, nasal tip deformities , improving nasal projection , nasal width correction and relief from nasal blockage.
GENIOPLASTY
It is a procedure wherein a well defined jawline is established along with well contoured chin and neck
VAGINOPLASTY
Following vaginal delivery, the vaginal tissue and pelvic muscles become lax causing a gaping introitus which results in decreased sensation during coitus . In Vaginoplasty by removing the excess tissue/lining of the vagina, and bringing together and tightening the muscles in a more natural manner, improved sensation can be noticed.
