Dr Manoj Pawar's Plastic and Hand Surgery Clinic

31/07/2024

Basic steps of an A.V. fistula (end to side)

A.V. fistula is the commonest surgery done in patients of chronic kidney failure for performing hemodialysis (HD).

It should ideally be done as soon as the patient is diagnosed with the chronic kidney disease. Quality of life is significantly improved by creating an effective and long lasting fistula.

It is a day care / minor procedure performed under local anesthesia and does not require admission to the hospital.

Following video outlines the basic steps in performing an AV fistula. Contact a plastic surgeon for creation of an A.V. Fistula

For any queries and assistance regarding the procedure, please contact us on 8149139895.

Basic steps of an A.V. fistula (end to side)A.V. fistula is the commonest surgery done in patients of chronic kidney failure for performing hemodialysis (HD)...

15/07/2024

On the occasion of 'World Plastic Surgery Day' I would like to extend warm wishes to everyone.

Keloids have indeed plagued plastic surgeons all around the world because of their stubborness to respond to any treatment.

Ear keloids are firm, rubbery, fibrous nodules that form on the ear after minor trauma, most commonly after ear piercing. They can occur in earlobes as well as in the skin and cartilage higher on the ear.

Keloids have a distinct appearance that sets it apart from normal tissue, made up of dense fibrous tissue that contains collagen fibres arranged in an irregular pattern.
The ear is a common place to get a keloid. If you or blood relatives have had a keloid, you may develop a keloid after piercing any part of your ear. The best way to prevent a keloid is to skip getting a piercing on any part of your ears.

Keloids result from abnormal wound healing in response to skin trauma or inflammation.
Most keloids continue to grow for weeks or months

Laser treatment, corticosteroid injection, liquid nitrogen, silicone sheets, and radiation therapy are all options that can be used to reduce the size of existing keloids. Pressure therapy is another option that can help flatten out the scar tissue and make it less visible.

Silicone gels are perhaps the most well-researched keloid removal cream. Silicone gels work by forming a protective layer over the keloid, hydrating the skin and reducing collagen production. It is effective in reducing scar height and improving overall scar appearance

The most common non-surgical therapy is intralesional corticosteroid injections (injected into keloid scar) to help shrink it, relieve symptoms, and make it softer. Injections are performed every four to six weeks until the keloid improves.

However, the quickest way to get rid of large, unaesthetic and painful keloids is to excise them surgically followed by maintenance therapies like silicon gels, silicon sheets, intralesional steroid injections, cryotherapy, radiation therapy and pressure therapy.

It should be kept in mind that in spite of all these treatments, Prevention of keloids is better than cure.

HAPPY WORLD PLASTIC SURGERY DAY

21/05/2021

CONGENITAL MELANOCYTIC NEAEVUS/ MOLES/ BIRTH MARKS

Melanocytic naevi, moles or birth marks are harmless proliferation of melanin pigment producing cells in the skin leading to aesthetic problems. Many are small but some may be quite large. Most of them can be treated by simple excision followed by suturing. Large ones may require excision and a skin graft.

31/03/2021

CROSS FINGER FLAP

Cross finger flap is a simple and a highly effective technique to resurface complex wounds on the finger tips and finger pulp defects. The functional results are superior with minimal cosmetic problems.

18/03/2021

Dimple creation

Dimple is a depression appearing on the cheek while smiling. Roughly 25 percent of people have dimple on their cheeks. It is considered to enhance the beauty and charm of one's smile. It is a simple procedure which is done under local anaesthesia and takes half an hour to perform. It can be performed in almost anyone desiring a dimple.

11/03/2021

11th March: World Kidney Day.

Chronic Kidney disease is a global public health problem, affecting over 750 million persons worldwide. Every year, World Kidney Day is celebrated on 11th March.World kidney day is a global campaign to raise awareness of the importance of our Kidneys. The theme of world Kidney day 2021 is “Living well with Kidney diseases”.

AV Fistula surgery helps in creating easier access for dialysis in patients of Chronic kidney disease, thereby improving their quality of life.

AV fistula surgery involves sewing an artery and vein together. Plastic surgeons are trained in delicate handling and repair of small sized blood vessels.

Do your homework.

Know your doctors qualifications. Consult the right person to get it right.
For AV fistula surgery, consult a Plastic surgeon.

Picture Courtesy: Dr.Parag Sahasrabudhe.

07/03/2021

March 6th : World Lymphedema Day

Lymphedema refers to swelling that generally occurs in one of the arms or legs or sometimes both arms or both legs . It can happen due to lymphatic blockage by a variety of reasons and some of the symptoms can be feeling of heaviness, restricted range of motion,pain or discomfort, recurrent infections and thickening of skin.
Treatment options are multiple and can range from exercise to compressive therapies to vascularised lymph node transfers.

March 6th is celebrated as world Lymphedema day to create awareness about Lymphedema and lymphatic malformations.

Do your homework.
Know your Doctors qualifications.

For Lymphedema & Lymphatic malformation consult a Plastic surgeon.:-)

Pic Courtesy: Dr.Suresh Chaware

05/03/2021

Cosmetic lip correction

Lip deformities are common after trauma due to falls or road traffic accidents, congenital deformities or cleft lip correction during childhood. However they can be corrected with proper anatomic realignment of lip landmarks.

25/02/2021

For eyelid trauma and eyelid reconstruction
consult a PLASTIC SURGEON
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Consult the right person to get it right.

09/02/2021

Pyogenic granuloma

Pyogenic granuloma is a benign growth that appears as a rapidly growing bleeding swelling on the skin of fingers, lips or inside the mouth. It is composed of blood vessels and occurs at the site of minor injury and has a tendency to bleed a lot. Simple surgical removal (excision) is the best way to get rid of them and to prevent recurrences. The wound heals well within 2 weeks.

30/01/2021

Post burn neck contractures

Post burn neck contractures are an unfortunate outcome of burns on the neck. It results when physiotherapy of the neck is neglected after an episode of burns. It is severely debilitating to the patient and responds well to management with neck release followed by a skin graft. The results are not only aesthetically pleasing but also improves the confidence and standard of living of the patient.

21/01/2021

For ABDOMINOPLASTY AND LIPOSUCTION consult a PLASTIC SURGEON

Consult the right person to get it right.
PC: Dr Bijoy Methil