EARLY EXPERIENCE OF EARLY EXPERIENCE OF RECONSTRUCTIVE SURGERY RECONSTRUCTIVE SURGERY

AMONG EARTHQUAKE SURVIVORS AMONG EARTHQUAKE SURVIVORS OF 10 / 08 EARTHQUAKEOF 10 / 08 EARTHQUAKE

Presenter: Muhammad Saaiq Authors:

Muhammad Saaiq , Hameed-ud-din, M.Ibrahim Khan,DEPARTMENT OF PLASTIC & RECONSTRUCTIVE SURGERY, PIMS ,

ISLAMABAD, PAKISTANPIMS , 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

Legs53%

Hands12%

Arm/F.arm12%

Foot6%

Face/Scalp 6%

Miscellan.5%

Sacrum2%

Thighs4%

How did we approach them ?

THE RECONSTRUCTIVE LADDERTHE RECONSTRUCTIVE LADDER

SKIN GRAFTSSKIN GRAFTS

1) Split Thickness Skin Graft ( STSG )Thin (Thiersch graft )Intermediate thicknessThick graft

2 ) Full Thickness Skin Grafts ( FTSG )

VARIOUS GRAFTING TOOLSVARIOUS GRAFTING TOOLS

1.

3

HARVESTING A GRAFTHARVESTING A GRAFT

PIC

CLASSIFICATION OF FLAPS 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 FLAPSFREE FLAPS

RECTUS ABDOMINUSRADIAL FOREARMLATISSIMUS DORSIFREE FIBULAOTHERS

LEECHESLEECHES

VAC DRESSINGVAC DRESSING

ROTATION FLAPROTATION FLAP

CROSS LEG FLAPCROSS LEG FLAP

RADIAL FOREARM FREE FLAPRADIAL FOREARM FREE FLAP

FREE FIBULA FLAPFREE FIBULA FLAP

FREE FIBULA FLAPFREE FIBULA FLAP

FREE FIBULA FLAPFREE FIBULA FLAP

RECONSTRUCTIVE SURGERIES RECONSTRUCTIVE SURGERIES AMONG EQSsAMONG EQSs

A TOTAL OF 433

OPERATIVE PROCEDURES WERE UNDERTAKEN AMONG THE EQSs

DURING THE FIRST 12 WEEKS

Sex Distribution ( n = 433 )

Male40%Female

60%

Age Distribution ( n= 433 )

020406080

100120

11---20 21-30 31-40 41-50 51-60 61-70

Age in Years

No

. of

pat

ien

ts

SURGERIES UNDERTAKEN AMONG EQSs SURGERIES UNDERTAKEN AMONG EQSs ( n = ( n = 433433))

Surgery No. of patients %

1 FLAPS 69 15.93 %

2 GRAFTS 189 43.64%

3 MISCELLANEOUS 175 40.41%

OUTCOMEOUTCOME

PICPIC

CONCLUSION&

MESSAGE

THANK YOUTHANK YOU