Category Archives: Surgery

Mathes and Nahai classification of Fasciocutaneous flaps

Mathes and Nahai is famous for their classification of Muscle and musculocutaneous flaps.This classification of fasciocutaneous flaps by Mathes and Nahai is of historical importance, as the more followed classification is by Cormack and Lamberty. Mathes and Nahai classification of …

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Z plasty technique and uses

What is Z plasty? It is a technique of wound closure, which involves transposition of two adjacent triangular-shaped flaps. Uses of Z plasty Increase the length of an area of tissue or scar Break up a straight-line scar Realign a …

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Cormack and Lamberty classification of Fasciocutaneous flaps

Fasciocutaneous flaps are designed based on blood vessels running either within or near the fascia. Cormack and Lamberty classification of FC flaps Type A • Dependent on multiple non-named fasciocutaneous vessels that enter the base of the flap. • Lower leg …

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Mathes and Nahai classification of muscle flaps

Type I • Single vascular pedicle. • Examples: Gastrocnemius Tensor fasciae latae (TFL) Abductor digiti minimi. Type II Dominant pedicle(s) and other minor pedicle(s). These flaps can be based on the dominant pedicle after the minor pedicle(s) are ligated.  Circulation …

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Dupuytrens disease

Dupuytrens disease is one of those diseases which present to our Plastic Surgery OPD frequently.Most of the patients come to us, when they are unable to work.So it is the functional limitation due to this disease that forces the person …

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Achalasia Cardia

Failure of LES to relax. LES remains in a constant state of tone with periods of relaxation. Etiology Idiopathic Infectious Neurogenic degeneration Stress Trauma Chagas disease Pathophysiology Young women, middle aged men and women are affected. Primary pathology is destruction …

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HIRSCHSPRUNGS Disease

Definition Congenital develoental disorder characterised by the absence of ganglion cells in myenteric(Auerbach’s)plexus and aubmucosal Meissner’s plexus. Epidemiology Occurs in 1 in 5000 childbirths, more common in males and m:f ratio is 4:1. Etiology Family history of HIrschsprungs, 3-5 percent …

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