Dr Anubhav Gupta - Plastic, Reconstructive & Cosmetic Surgeon

Dr Anubhav Gupta - Plastic, Reconstructive & Cosmetic Surgeon Dr Anubhav Gupta is Consultant Plastic & Cosmetic Surgeon in Delhi.

28/04/2026

Liposuction for lymphedema is done only in selected cases.

It is useful in non-pitting edema, where fat becomes a major component of swelling.

It can significantly reduce limb size, but does not treat the underlying lymphatic problem.

Lifelong compression garments are essential after the procedure.

Right selection is the key to good outcomes
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21/04/2026

What is Lymphovenous Anastomosis (LVA)?

A super microsurgical technique where small lymphatic vessels are connected to nearby veins, allowing lymph fluid to bypass blockage and drain effectively.

ICG lymphography helps identify functional lymphatics for precise surgery.

Best results are seen in early stages of lymphedema (Stage 1 and 2). Early intervention is key.

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When should surgery be done in brachial plexus injury?Understanding the timing is critical. From the zone of observation...
18/04/2026

When should surgery be done in brachial plexus injury?

Understanding the timing is critical. From the zone of observation to the zone of decision and salvage, each phase guides the next step in management.

Early intervention in selected cases and advanced options like contralateral C7 transfer can significantly improve outcomes in severe injuries.

Watch the full video here:
https://youtu.be/P41w9GDoKTU

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16/04/2026

What causes a claw hand?

It happens due to paralysis of the intrinsic hand muscles — mainly lumbricals and interossei.

These muscles, supplied by the ulnar nerve, control MCP joint flexion and smooth finger closure.

When they stop working, the balance is lost → leading to the classic clawing of fingers.

Understanding the cause is the first step toward proper treatme
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14/04/2026

Can lymphedema be reversed without surgery?

Yes — if diagnosed early.

Treat the cause (like filariasis), start timely medication, and use compression therapy along with Complete Decongestive Therapy (CDT).

Early and aggressive management can control swelling and even reverse it in initial stages.

Delay can make it permanent.

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10/04/2026

Best exercises for lymphedema focus on activating the body’s natural pumps.

Deep breathing helps stimulate the central lymphatic system, while movements of the ankle, knee, shoulder, and elbow act as pumping exercises to improve fluid flow.

Simple, consistent movements can make a big difference in reducing swelling.

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09/04/2026

Which cranial nerve is useful in brachial plexus injury reconstruction?

Cranial Nerve XI — the Spinal Accessory Nerve.

It is commonly used for:
• Elbow reconstruction
• Nerve transfers
• Free Functional Muscle Transfer (FFMT)

Research is also exploring the role of the hypoglossal nerve in selected cases.

Choosing the right donor nerve is crucial for functional recovery

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07/04/2026

Compression garments play a key role in managing lymphedema.

They provide graduated (gradient) pressure - higher at the lower part of the limb and gradually decreasing upward — helping lymph fluid move back effectively.

In certain cases, criss cross bandaging is used for controlled tightness.
But remember, compression should be firm, not excessive.

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03/04/2026

Complete Decongestive Therapy (CDT) is the gold standard treatment for lymphedema.

It includes:
• Gradient compression
• Compression stockings
• Lympha press therapy

Controlled pressure helps improve lymphatic flow and reduce swelling effectively.

Early treatment prevents long term complications.

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02/04/2026

Why no pillow in neck burn patients?

Because a flexed neck position can cause neck flexion contracture during healing.
Proper positioning prevents stiffness and long term deformity.

When is surgery needed in brachial plexus injury? 🤔If there’s no recovery after months, or when nerve continuity is disr...
01/04/2026

When is surgery needed in brachial plexus injury? 🤔

If there’s no recovery after months, or when nerve continuity is disrupted, knowing what, when, and why surgery is done can make all the difference.
Watch this video to understand indications, neurolysis, nerve grafting, and the ideal surgical window for best outcomes.

📺 Watch here:
👉 https://youtu.be/XajQknxwO2Q

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26/03/2026

Why is night splinting necessary in severe hand burns?

After a burn, the hand naturally rests in a position of least resistance due to pain, swelling, and tissue tightness.

If not supported at night, this can lead to stiffness, contractures, and long-term deformity.

Night splints help maintain the hand in a functional position while sleeping, preserving range of motion and improving long-term recovery.

Proper positioning today prevents disability tomorrow.

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Address

Sir Ganga Ram Hospital, SSRB Building, Old Rajinder Nagar
New Delhi
110060

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