Congenital Back Deformity: Meningomyelocele

 Meningomyelocele: Congenital Back Deformity

Meningomyelocele is a congenital condition characterized by the protrusion of both the meninges and the spinal cord through a defect in the spinal column. This condition typically presents as a sac-like protrusion containing the spinal cord, nerves, and cerebrospinal fluid.

Children born with such defects are prone to numerous problems starting from the day of their Birth.

Apart from the open spinal canal (bony defect) there may be exposed spinal nerves, spinal cord coverings (meninges) with CSF leak. There may or may not be skin present over the defect or the skin may be ulcerated with risk of impending exposure.

2 DAY OLD INFANT WITH IMPENDING EXPOSURE OF SPINAL CORD

Management : Team Work

Reconstructive surgeon (Plastic Surgeon)

Neurosurgeon

Orthopedician

Urologist

Pediatrician

Geneticist

Social worker

Treatment: Surgical closure of the defect and coverage with skin flaps

VY ADVANCEMENT FLAP AFTER DURAL COVER

AFTER SUTURE REMOVAL

There are numerous methods of closure of the skin defect and the choice has to be made according to the site of the lesion, the risk benefit ratio of various options available.

MYOCUTANEOUS FLAP COVERAGE OPTIONS

Surgery is not the endpoint of care. 

IT DOES IMPROVE THE 5 YEAR SURVIVAL FROM 10% IN UNTREATED INFANT TO 50% POST SURGERY.

DR. ASHISH GUPTA

DIRECTOR

DEPT OF PLASTIC, MICROVASCULAR & COSMETIC SURGERY,

DEEP HOSPITAL, LUDHIANA

 WHY WOUND CLEANING IS IMPORTANT?

It is common to see people suffer minor injuries on the road, playground and while doing their daily chores. These wounds usually get contaminated with dirt from the road surface and it is brushed off as a normal occurrence. 

Cleaning wounds is essential because:

1. To remove the dirt and debris impregnated within the layers of skin. Body heals by regenerating skin over its abraded surface and the dirt gets imprinted permanently as a tattoo which is difficult to remove after some time.

2. Cleaning brings forward the hidden cuts and lacerations which can be sutured and leave a better scar.

3. Leads to early healing, shorter hospital stay, lesser antibiotics, and Regular follow up ensures that the scars can be managed with the best possible results....

DR. ASHISH GUPTA

DIRECTOR DEPT. OF PLASTIC, MICROVASCULAR AND COSMETIC SURGERY,

DEEP HOSPITAL, LUDHIANA

Plastic Surgery Suturing Vs Suturing

 

Plastic Surgery Suturing Vs Suturing

What we use and why:

FINE SUTURES:                            To prevent train track scars

MULTILAYERED CLOSURE:       To prevent stretching of scar as it takes the tension                                                                                     off the skin sutures

EARLY REMOVAL:    To prevent suture marks to become permanent.

                                                        Normal duration in which we take off the stitches is 5-7 days.

ZERO TENSION CLOSURE:        Leads to early healing

                                                                                 "As they say, Stress is Bad"

AFTER CARE:                                 Massage, avoiding sun exposure, Regular Follow up

ORIENTATION OF SCARS IN SKIN LINES:    To camouflage in plain sight

QUALITY OF SCAR:              All this leads to a  better quality scar which is nay visible J

DR. ASHISH GUPTA

SENIOR PLASTIC SURGEON, LUDHIANA

WHY LET OUR HANDS AGE: LETS REJUVENATE

 HAND REJUVENATION: 

NEED OF THE HOUR

With our traditional “Namaste” coming back into vogue and on an International Level, the most unassuming yet invaluable assets have come to the lime light; Our HANDS.

Majority of us take concerted efforts to keep our faces and necks looking youthful but often unknowingly neglect our very visible HANDS. 

The skin on our hands reveals telltale signs of aging just as much as our facial skin.

Q. What are signs of ageing in Hands?

A. Thin Skin, Wrinkles, Age spots, 

     Excessive show of Veins and tendons, 

     Loss of Shine and Tone.

 

Q.  Who should not get it done?

A. People who are Smokers, with Allergies, Bleeding disorders, 

     Women who are Pregnant and Breast feeding and 

      People with Unrealistic goals

 

Q.  What are the procedures to slow/ conceal the ageing process?

A. There are numerous procedures for delaying ageing of hands and each has to be individualized according to the needs of the patient. The procedures are

1.      Microdermabrasion

2.      Dermapen 4 (Microneedling)

3.      Chemical Peels

4.      Fillers and Fat Injections

5.      Lasers: IPL, Fractional CO2

6.      Sclerotherapy or Vein Removal

7.      Surgical excision of excess Skin

 

Q. Are they safe?

A. These procedures are time tested and safe provided they are done by a specialist 

      and at a medical facility.

 

Q. Do I need to get them regularly?

A. Few of these procedures like Microdermabrasion, Dermaapen4, Laser resurfacing                 require multiple sittings. 

The Surgical procedures like fat grafting, skin excision are usually single step procedures.

 

Q. Is Admission required for these procedures?

A. Majority of these procedures are office procedures and with minimal downtime. For details consult your Plastic Surgeon.

 

DR. ASHISH GUPTA

Senior Plastic & Microvascular Surgeon,

Ludhiana

M: 9779771111

Email: docashish2001@yahoo.com

Insta: docashish2001

Underarm Bulge: Axillary Breast?

 DO YOU HAVE AN UNDERARM BULGE?

2 TO 6% Women have Accessory Axillary (Underarm) breast tissue which is usually seen as an unsightly bulge.

Reasons why women come for Plastic Surgery Consult:

1. Inability to wear Proper Clothes
2. Swelling, Sticky Skin and Discomfort
3. Cosmetic Concerns
4. Pain in the Lump
5. Fear of Malignancy/ Cancer

How does it Develop?

It is a common occurrence in women. This swelling can develop anywhere along the line known as Milk Line and the commonest region is the axilla.

When does it present?

It usually becomes enlarged during Pregnancy and Lactation but can become noticeable during Puberty and during the menstrual cycle.

What are the Treatment Options?

1. Open Excision
2. Liposuction
3. Injection Lipolysis
4. Axillaplasty

Is there Risk of Developing Cancer in it?

Incidence of developing cancer in Axillary Accessory Breast is very uncommon (0.2% to 0.6%).

What is the Best Treatment for Me?

The treatment has to be individualized. It is recommended that you visit your Plastic Surgeon for the same.

Dr. Ashish Gupta

Senior Consultant Plastic Surgeon

Ludhiana

M: +91-977977-1111

docashish2001@yahoo.com

INTIMATE SURGERY

 Intimate Surgery

Cosmetic Gynaecology

Holistic Happiness comes when we have no qualms about ourselves, our body image, our self esteem. Yet there are always some delicate subjects too uncomfortable to discuss even with our own mothers or best girlfriends. There is a solution for everything and for any intimate concerns, increasingly popular Intimate Cosmetic Surgery often provides the answer.

 Women turning towards Intimate Surgery before marriage are usually dealing with physiological issues with excess skin over the labia, discoloration as well as ruptured Hymen. Where as post pregnancy and in the late 40's women require rejuvenation via tightening and fat grafting for retaining the youthful look,  appearance and feel of the private parts.

Frequently Asked Questions:

Q1.        What is Intimate Surgery?

Ans:      Intimate Surgery are a set of procedures performed on the female private parts (genitalia) to correct, improve and repair the effects of childbirth, ageing and frequent sexual intercourse. No matter how good you feel in your own body, there are always some delicate subjects too uncomfortable to discuss even with your own mother or best girlfriends. But there is a solution for everything and for any intimate concerns.

Q2.        Who Needs Intimate Surgery?

Ans:      There is a powerful deep connection between the appearance and function of a woman’s genitals and her self-perception, self-esteem, and sense of well-being which is tied to her sexual health and wellness. It is beneficial for women suffering with:

1.      Loose vagina

2.      Excess and dark skin of Labia

3.      Loss of normal fullness and young look

4.      Loss of normal feel and sexual gratification

5.      Embarrassing exposure of labia in Yoga pants, Swimsuits, and Leggings

6.     Dribbling of Urine on exertion, coughing, straining

Q3.        What Procedures are done under Intimate Surgery?

Ans:       Intimate surgery includes:

1.      Hymenoplasty

2.      Labioplasty

3.      Clitoral enlargement

4.      Clitoral piercing

5.      Vaginoplasty and Rejuvination

Q4.        What are the benefits of Intimate Surgery?

Ans:      Intimate surgery helps women to recover their self-confidence and to have a more secure and fulfilled sex life. It is imperative for each woman to feel good about themselves within each moment, including the most intimate moments.

Q5.        Do I need to get admitted for Intimate Surgery?

Ans:      Intimate Surgery is a Day care procedure and the patient is sent home shortly after completion of the procedure.

 Q6.       Can anyone know that I underwent Intimate Surgery?

Ans:      Intimate surgery usually does not leave any scars and it is up to you whether you disclose to your partner about it.

Q6.        What is the Cost for Intimate Surgery?

Ans:      Intimate surgery is unique for every patient according to her requirements and expectations. A detailed discussion and examination is needed to plan out the procedure for you.

No woman should ever simply accept their insecurities. Dissatisfaction with one’s intimate areas may also end up creating intimacy and general confidence problems in relationships. As such, to ensure a fulfilled life, it is imperative for each woman to feel good about themselves within each moment, including the most intimate ones!

DR. ASHISH GUPTA

Senior Consultant Plastic Surgeon,

Ludhiana

+91-9779771111

email: docashish2001@yahoo.com

INSTA: DOCASHISH2001