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Showing posts with label INJURY. Show all posts
Showing posts with label INJURY. Show all posts

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

Tuesday, January 12, 2021

STING OF THE STRING (CHINESE DOR)

 STING OF THE STRING


The festivals of Lohri and Vasant Panchami are synonymous with kite flying in the northern states of India. Lohri is celebrated for numerous reasons one among them is that it falls on the eve of winter solstice, that is the longest night of the winters and as the beginning of a financial new year for the Punjabi farmer. Over time, people have associated Lohri to the tale of Dulla Bhatti. The central character of most Lohri songs, who lived in Punjab during the reign of Emperor Akbar. He was regarded as a hero in Punjab for he rescued Hindu girls being forcibly sold in the slave market of the Middle East. He arranged their marriages to Hindu boys with rituals and provided them with dowries. So every other Lohri song has words to express gratitude to Dulla Bhatti. For Punjabis, this is more than just a festival, it is also an example of a way of life. Lohri celebrates fertility and the spark of life.



Vasant Panchami too is a famous festival that marks the end of the winter season and ushers in the springtime. Goddess Saraswati is the one who gives the essence (sara) of our own self (swa). She is considered the personification of knowledge. Vasant Panchami has a specific meaning, Vasant means Spring, whereas Panchami means the fifth day of the spring. It falls on Panchami - on the Waxing Moon. The color yellow celebrates the brilliance and the vibrancy of life.




The vibrance of these two festivals is witnessed in the sky filled with innumerable shapes and colors of KITES.  The history of kite flying is equally engrossing as is the recreation itself. Kites were used approximately 2,800 years ago in China, where materials ideal for kite building were readily available: silk fabric for sail material; fine, high-tensile-strength silk for flying line; and resilient bamboo for a strong, lightweight framework. The kite was said to be the invention of the famous 5th century BC Chinese philosophers Mozi and Lu Ban. Ancient and medieval Chinese sources list other uses of kites for measuring distances, testing the wind, lifting men, signaling, and communication for military operations. The earliest known Chinese kites were flat (not bowed) and often rectangular.



After its introduction into India, the kite further evolved into the Fighter kite known as the PATANG in India. In India annual kite running competitions are held every year in the month of January. Lohri & Vasant Panchami are the times when the skies are filled with hues of different colors and forms of kites.

The science behind these graceful flybys presented us with a volte face (the darker side) in the form of the glass laced, polyethylene fiber blended with the metal zinc thread; in common verbatim labeled as “The Chinese Dor”. The accurate constituents of the string are still not known. It was January of 2012 that the Indian people had a taste of its true potential; a kite string that would cut all Indian threads that were hand woven called “Manjha” but also have property to stretch without breaking leading to extensive cuts on people caught in its tangles; leading to partial amputations and injuries to the face and neck as populace of Amritsar found out the hard way; Electrocution, an unheard entity, but the metal content would transmit current in the vicinity of high voltage wires or when wet leading to fatalities in the states of Punjab and Jammu in the year 2011.



The newsprints were full of incidences of fatalities resulting from the string that had created ripples in the kite flying ways. The infamous Chinese Dor was then banned in Punjab, Gujrat & Maharashtra; but it still finds favor with the ill-informed and the un-repenting. Even with its fatal outcomes, traders are stock piling it as the demand fuels its sales.

Human nature is to strive for material things that are forbidden and the tragedy is that we find what we are looking for and are left to fend ourselves while facing the consequences of our selfish actions.



The Chinese Dor is not to be blamed in its entirety as it was intended to be used to fly large kites for Kite flying Competitions not the usual “duels” that we witness in our skies during Lohri and Vasant Panchami. The polyethylene fiber used in making the string has a large breaking load and stretches before breaking giving it a unique nature to resist all attempts of the Indian made Dor to break it. The lacing of glass adds the teeth to the Dor.


Accidents happen when we are not careful. A learned decision as to which string (dor) you will buy might make a difference of life and death for you, your family member and/ or for an unknown passerby who was just admiring the view. As a doctor, I would say, “If you have a bleeding wound, give pressure over the part from where it is bleeding and rush to the nearest hospital.” But as a concerned citizen, I would say, “Prevention is better than cure. Make a wise decision and keep the playing field even.”

Have a Happy Lohri and a joyous Vasant Panchami. 

Friday, February 3, 2012

SCARS NEED A SUPERSPECIALIST’S TOUCH


SCARS NEED A 
SUPERSPECIALIST’S TOUCH

WHAT IS A SCAR?
A scar is the fibrous tissue (thick, firm, red) laid down by the body as a natural process of biological healing at any site that sustains injury.

IS SCAR FORMATION PREVENTABLE?
The following factors determine scar formation: Size and depth of the wound; Location of the injury on the body; Blood supply to the area; Age of the person; Thickness, type and colour of the person's skin; Direction of the scar & Duration of the wound. Some of these factors can be modified to reduce scar formation.

CAN SCARS BE COMPLETELY REMOVED?
“Once A Scar, Always A Scar. We Can Improve The Quality Of The Scar.” A skilled PLASTIC SURGEON can definitely improve the appearance of the scar by disguising it, relocating it, or minimizing its prominence, by surgical and non-surgical means.

ARE THERE ANY TYPES OF SCARS?
Scars can be good scars or bad scars but scientifically they are classified into various type: Keloids, Hypertrophic scar, Hypo or Hyper-pigmented scar, Pitted/ depressed acne scars, Stretch marks (striae).

HOW DO I ENSURE THAT I GET A GOOD SCAR?
Follow the instructions given by your PLASTIC SURGEON properly and for the entire duration as directed. Regular follow up visits are necessary to assess the response of the body towards the treatment and if any change is required can be instituted at the earliest.

WHAT ARE THE NON- SURGICAL OPTIONS FOR IMPROVING MY SCAR?
Pressure garments and silicone gel/sheet (medical grade as advised by the PLASTIC SURGEON) has been the mainstay in the treatment of scars. Other options are: Chemical peels (by the Skin Specialist); Fractional Lasers or Nd:YAG laser therapy  (by the Plastic Surgeon); Intra-lesional injection of Steroids (by the Plastic Surgeon); Fillers

WHAT ARE THE SURGICAL OPTIONS?
The type of surgery may range from a simple dermabrasion (surgical peeling of outer layer of skin); micro-dermabrasion (does not require anaesthesia); Z- Plasty; scar excision; serial excision; scar revision; skin grafting or tissue expansion (in large scars).

IS SCAR SURGERY A MAJOR SURGERY?
Usually Scar revision surgeries for small scars can be done under local anaesthesia which do not require admission. Some larger scars or scars in sensitive areas like near the eyes, nose etc may require general anaesthesia and a day care admission in which the patient is sent home in the evening. Complex scars may constitute a major surgery and require admission for more than a day.

WILL INSURANCE COVER MY EXPENCES FOR SCAR SURGERY?
If the scars are causing functional problems like contractures, limiting ones daily activity, or hindering ones social interactions; such scar revisions are likely to be covered under the Insurance act. But a prior approval from the company is helpful. Cosmetic surgery is not covered under the gamut of health insurance.

HOW LONG AFTER THE SURGERY WILL MY SCAR LOOK BETTER?
The biological process of healing in a scar usually subsides by 6-9 months. It is by that time the final results can be commented upon.

DO HOME REMEDIES HELP?
People have tried lemon juice, shea butter, cocoa butter, honey, sun exposure for scar reduction but with inconsistent results. But application of Vit E, Aloe Vera creams, massage and avoiding sun exposure do facilitate better scarring.

DR. ASHISH GUPTA
ASSOCIATE CONSULTANT
S.P.S. APOLLO HOSPITALS, LUDHIANA