Friday, November 5, 2021
Wednesday, October 27, 2021
ANECDOTAL FIRST AID IN BURNS: LOG KEHTE HAIN (लोग कहते हैं)……
ANECDOTAL FIRST AID IN BURNS:
LOG KEHTE HAIN (लोग कहते हैं)……
Winters, Diwali and Farm Fires all have one thing in common;
Men, Women & Children reporting to Clinics and Hospitals with Burns. And
the common denominator amongst them all is the statement, “Log Kehte Hain, Eise
Jaldi Aaram Milta Hai”.
Lets Take a look at the last 11 years of what 7 most common
things people have applied and come to the Plastic Surgeon as First Aid in
Burns and their logic behind it apart from Log Kehte Hain.
1. Toothpaste: Commonest
ointment to be applied
a. Advantages:
Ready at Hand in every home
b. Disadvantages:
i.
Increases Pain,
ii.
Increases chances of infection,
iii.
Painful to take off from burnt area,
iv.
Seals in heat underneath your skin layers, causing
more damage in the long run,
v.
Baking Soda in tooth paste delays healing.
c. Cosmic Tip:
Teeth Don’t get Burnt
2. Mehndi/
Henna: Almost all Indian households have a packet lying somewhere
a. Advantages:
Antiseptic, Soothing effect
b. Disadvantages:
i.
It Itself Causes Chemical Burns,
ii.
Better for wounds and fungal infections than burns,
iii.
Crusting and difficult to remove once dry
c. Cosmic Tip:
Looks Beautiful on Hands
3. Halwaii Ki
Dawai
a. Advantages:
Log Kehte Hain
b. Disadvantages:
i.
Infections,
ii.
Delay in healing,
iii.
In one child we had to amputate 2 toes because of the
infection
c. Cosmic Tip:
Halwaii’s creations should be Ingested not Applied
4. Rattanjot: A Powerful
Ayurvedic Herb
a. Advantages:
i.
Cooling effect,
ii.
Antiseptic properties
b. Disadvantages:
i.
Causes of extension of surface and depth of burn wounds
in acute stage,
ii.
Black tattooing of the skin if not removed in time
c. Cosmic Tip:
Not First Aid, it’s the Last Aid (Better with oils and for burn scars)
5. Babaji Ka
Lep: Wrapped in a specific kind of cloth
a. Advantages:
Trust Heals
b. Disadvantages:
i.
Infections,
ii.
Extension of burns, Sepsis, Prolonged healing
c. Cosmic Tip:
India Runs on faith, Do You?
6. Egg White
a. Advantages:
Soothing efect
b. Disadvantages:
Causes Salmonella Infection
c. Cosmic Tip:
Its healthier when you eat it.
7. Leaves
a. Advantages:
Covers the wounds
b. Disadvantages:
i.
Infections,
ii.
Local Allergies
iii.
Extension of burn wounds,
c. Cosmic Tip:
Even Mud Has Healing Powers………
One Often Feels at a Loss as to if none of the above should be done,
Then what should actually be done.
You may refer to https://drashishgupta.blogspot.com/2020/11/how-to-build-first-aid-kit-for-minor.html for what all things in the house you may actually use as First aid in Minor Burns.
Help is Always at Hand.
DR. ASHISH GUPTA
Senior Consultant Plastic Surgeon
Ludhiana
+91-9779771111
1.
Tuesday, September 28, 2021
BREAST RECONSTRUCTION: A LIFE SALVAGE PROCEDURE
BREAST RECONSTRUCTION: A LIFE
SALVAGE PROCEDURE
POST BREAST CANCER RECONSTRUCTION
Body image is akin to self esteem for the woman of Today.
Diagnosis of breast cancer once considered a death sentence has now transformed
into a nearly curable disease with surgery, neo adjuvant chemo- radio therapy,
hormonal treatment and prophylactic mastectomies.
Once all is done and the disease is gone, the lady standing infront of the mirror is left with a choice: To Behave Normal or To Become Normal.
Acting to be normal after the psychological and surgical trauma
of the disease takes its toll over time.
Today’s woman chooses to Become Normal and Plastic Surgery aids in achieving her Goal to Become Normal. The choices are numerous and the lady chooses with the surgical team what she desires.
Immediate reconstruction
of the breast as soon as the mastectomy is performed or delayed formation of the
breast mould once all the treatment modalities have resulted in remission.
 |
| NUMEROUS OPTIONS FOR COMPLETE RECONSTRUCTION OF BREAST |
We can recreate what is lost to disease with tissues that our
own like Lat- dorsi Flap, TRAM Flap, Free Flaps from the abdomen and thighs or
institute the help of silicone implants and/ or expanders.
 |
| AUTOLOGUS FLAPS AND MORE |
The answer to your doubts is in discussion and the best decision
shall ensue.
DR ASHISH GUPTA
SENIOR PLASTIC SURGEON
LUDHIANA
+91-9779771111
DOCASHISH2001@YAHOO.COM
Sunday, July 25, 2021
Surgical Wound Cleaning
"It is never too late" hold true only for first 24 hours of injury to the Face.
Early dermabrasion of the facial abrasions and surgical cleaning results minimal visible scarring and no traumatic tattooing.
Results after 3 months of appropriate surgical cleaning of the abrasions received on 2 wheeler accidents.
Dr Ashish Gupta
Senior Consultant Plastic surgeon
Ludhiana
Email: docashish2001@gmail.com
Mobile: 9779771111
Monday, June 7, 2021
RUBBER BAND: FUN TO CATASTROPHY
RUBBER BAND (DHAGA) SYNDROME
https://rdcu.be/cFwDk
Children have a tendency to try on anything and everything and one
such object is a colourful and innocently docile looking RUBBER
BAND.
In children less than 4 years old it has been seen to cause
Catastrophic damage as it burrows through the skin, cutting across
the nerves and tendons causing loss of function of the hand.
Unfortunately the child cannot give a reliable history and in this
growing phase the skin grows over it leaving behind a circular scar
which may pour out pus at various intervals.
Total of 15 cases are reported in literature and we have been able to
restore function in two such children.
Warning Signs:
1.
Circular
scar across the wrist of the child.
2.
Child
keeps complaining of pain in hand.
3.
Child
stops using one hand and does not allow anyone to touch it.
4.
Frequent
ulcers or pus discharge from the scar around the wrist.
5.
Paralysis
of the hand.
Treatment:
1.
High
degree of suspicion is needed for making a diagnosis of Rubber band Syndrome.
2.
MRI
is Gold Standard Investigation of Choice.
3.
Surgical
Exploration and removal of the Rubber band.
4.
Exploration
and repair of the Nerves to prevent residual neurological deficit.
DR. ASHISH GUPTA
SENIOR CONSULTANT PLASTIC SURGEON
LUDHIANA
+91-977977-1111
DOCASHISH2001@GMAIL.COM
Monday, May 31, 2021
WHAT SAY MY LIPS
" WHERE LIPS ARE SILENT,
HEART HAS A THOUSAND TONGUES"
RUMI
After eyes, lips are the second most impressionable part of the human body which is geometrically designed to perfection. As soon as one is born, the cry of the baby brings a sigh of relief to the mothers' lips, excitement on the fathers', exhilaration on the grandparents lips.
Through the decades these beautiful assets are fraught with vexations (problems)
- First decade/ New Born: Cleft lip deformity
- Childhood: Prone to Injuries, Falls and Scars
- Second decade: Adolescents: Contagious infections like Herpes simplex are common
- Third decade/ Young age: As the body image undergoes transformation lips may feel too thin, too thick, too fat.
Lower Lip Reduction surgery with scar revision chin
- Fourth decade/ Middle Age: With Smoking and chronic abuse of cosmetics dark color starts to seep in, and the lips start to loose their pink sheen.
Microblading for rejuvenation of lips is an OPD procedure with minimal down time.
- Fifth Decade and beyond: The wrinkles around the eyes and neck seem to migrate to over the lips.....
Short of Surgical lift of upper lips, Dermapen 4 therapy is effective in early wrinkling of the lips
To maintain what is Beautiful and to Preserve their Aesthetic Grace; Plastic Surgery is one such specialty that has answers to all the above and many more.....
DR. ASHISH GUPTA
Senior Consultant Plastic Surgeon
Ludhiana
+91-977977-1111
docashish2001@gmail.com
|
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Friday, May 7, 2021
WHY NOT STITCH (SUTURE) A CUT?
WHY NOT STITCH (SUTURE) A CUT?
We witness and experience numerous injuries during our lifetime
but the ones that leave us in a dilemma are the ones that our little
angles get during their endless sessions of mischief.
Then the Dharm-Sankat starts, whether to get the CUT stitched or
NOT.
1. NOT ALL
CUTS NEED STITCHES (SUTURES)
Wounds that are not long, not
gaping; not bleeding; not near joints; not on scalp, face, hands and feet can
and shall heal without suturing. But the decision should be taken with the
Plastic Surgeon’s opinion.
2. DISSOLVING STITCHES
(SUTURES) ALSO LEAVE SCARS
It’s the injury that leaves a scar.
When the cuts are in the skin creases and are sutured by an expert the
resulting scar is almost invisible. Use of Fine Sutures and their early removal
hold more importance than Dissolving vs Removable Sutures.
3. SCARS IN
CHILDREN STRETCH WITH TIME
With the growth of the child the
cells in the skin multiply but the scar stretches. It makes it more
important to suture the wound so that there is minimal stretching over the
years till child is 16 -18 years of age.
4. STITCHED (SUTURED)
CUTS SCAR BETTER THAN GLUE
An invisible scar depends on the
accurate approximation of the cut ends of the skin which can best be achieved
by Suturing. In selective cases where skin is not gaping; the wound is small
and superficial; skin glues too give good results.
5. AFTER CARE
IS MOST IMPORTANT
Treatment does not end with removal
of bandages, it Starts from there. Avoiding sun exposure, religiously massaging
of the scar and regular follow up with your Plastic Surgeon gets you the best
possible results.
Coming up next : THE GOOD, THE BAD, THE UGLY ABOUT SCARS
DR. ASHISH GUPTA
SENIOR CONSULTANT PLASTIC SURGEON
LUDHIANA
+91-977977-1111
DOCASHISH2001@GMAIL.COM
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