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Home Surgical Procedures Repair of Soft Tissue Defects

The word “plastic” in “plastic surgery” is derived from the Greek word “plastiki”, or Latin “plasticus”, which is the art of sculpting, shaping, molding or modeling.

Even though aesthetic surgery is the most well known type of plastic surgery, most plastic surgery is not aesthetic. In fact the term “Plastic Surgery” includes other subspecialties namely reconstructive surgery, hand surgery, microsurgery, cranio-facial surgery and the treatment of burns.

Aesthetic Surgery is performed to enhance normal structures, in other words facial or body features patients are not happy with, towards some aesthetic ideal. Such operations do not only improve the appearance of these features but they also have a huge impact on the patients’ self esteem.

Reconstructive surgery, on the other hand, is performed to correct abnormal structures of the body in order to improve the function and appearance of any disfigurements such as those caused by burns, traumatic injuries, congenital and developmental abnormalities.

Hand surgery, as the name suggests, deals with acute injuries and chronic diseases of the hand and wrist, the correction of congenital malformations of the upper extremities and peripheral nerve problems.

Microsurgery is the term used for surgery requiring an operating microscope and is used for the reconstruction of missing tissue. This is done by transferring tissue to the reconstruction site from another area, in other words nerves, muscles, fingers and skin, and reconnecting it to a blood supply by suturing arteries and veins. Nerve suturing and brachial plexus repair is also part of this sub specialty.

Craniofacial Surgery revolves the treatment of congenital and post traumatic anomalies of the craniofacial skeleton and soft tissues.

Last but not least, the treatment of burns involves both the treatment immediately after a burn as well as correcting the damage which remains after the wounds have healed.

This side of plastic surgery is rather complicated and in many cases it requires extensive and round the clock infrastructure, including surgeons of various specializations, specially trained nurses, ICU and rehabilitation centers. Each case is unique and often requires the combination of a number of techniques or even multiple surgeries. It is, therefore, not possible to provide you with detailed information about each procedure. We will, however, present some indicative examples:

Tendon Repair


Proper evaluation and subsequent surgical treatment can benefit hand lacerations, especially if they appear early after injury.

Hand X-rays and surgical exploration under anaesthesia, usually local or nerve block, allow the identification, assessment and debridement of the injured structures, such as skin, tendons, nerves, blood vessels, bones and joints, and help to determine the appropriate treatment for each anatomic element.

This method has the best possible results.

 

Dupuytren’s Disease

The flexion contracture in the palm and fingers is amenable to surgery only when there is functional impairment of the hand. The operation aims at removing the retracting bands in the palm and fingers in order to improve their movement. Intensive hand therapy is mandatory to achieve good results.

 

Soft Tissue Defects

Trauma or elective hand surgery can result in defects on the skin, subcutaneous tissue or muscle. The surgical reconstruction of these is the only method known to protect the underlying noble structures, in other words the bone, joints, tendons, blood vessels and nerves.\

 

Polydactily

This is a congenital deformity in which a hand has more than 5 fingers. Similarly a foot can have more than 5 toes. In most cases the surgeon will amputate the superfluous finger or toe, however, the ongoing supervision of the hand surgeon should be sought to avoid further growth problems in the area.

 

Brachial Plexus Reconstruction

The treatment of brachial plexus injuries and post- injury sequellae requires an experienced  medical team for the pre-operative assessment and diagnosis, the microsurgical reconstruction, the palliative operations, the post operative re-evaluation and functional rehabilitation.

The operation is usually performed under a microscope and takes several hours under general anaesthesia.

Recovery is never complete and takes one to two years.

 

 

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