Authors : Sasanka Sekhar Chatterjee, Neelam Yadav
DOI : 10.18231/j.ijos.2023.033
Volume : 9
Issue : 3
Year : 2023
Page No : 168-172
Objectives: In clinical practice, all of us have at sometime or other faced with problems where the ideal solutions may not be possible. The reason is mostly economic but even desire of the patient not to undergo complex procedures has to be taken into account. In this article authors describe management of these surgical challenges when compromised confidence of patients and relatives from previous surgeries left him with minimum choices available for secondary surgeries. Here are six such cases where simplest option were chosen achieving best long term outcome both in form and function and with least donor morbidity.
Materials and Methods: This study describes the retrospective review of a single surgeon experience from his archives of six cases where salvage procedure were done, which fulfilled reconstructive goals as well as decreased apprehension related to failure of surgery.
Results: All 6 patients demonstrated complete wound healing by final follow up, without need for further reoperations or recurrence.
Conclusion: Surgeon by his depth of knowledge and huge experience was able to manage all these surgical challenges with ease providing optimal form and function following principles of plastic surgery with ingenuity. These procedure not only reduced the surgical morbidity but also hospital stay and overall cost of treatment.
Keywords: Flap failure, Lower limb recurrent defect, Tendoachilles defect, Wound resurfacing, Knee defect.