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Plastic and Reconstructive Surgery



“It is one of the lessons of history of science that each age steps on the shoulders of the ages which have gone before. The value of each age is not its own, but is in part, in large part, a debt of its forerunners”

– Michael Forrester

The Beginning

The Plastic Surgery Department at Seth G.S.Medical College and K.E.M.Hospital was inaugurated on December 1961 on the initiative of Dr. C.J.T. Pinto, the active support of Dr. S.V.Joglekar, the then Dean and the participation of Mr. Eric Peet of Oxford who was actively involved during the first three months of its existence and for a month each during the next two years. Dr. Ananta Puranik and Dr. Deodutt Bendre were the first Surgical Registrar and House Surgeon respectively. We had about 30 dedicated beds and a dedicated operation theatre. The last was a gracious gesture of Dr. H. N. Dastur, the then Professor and Head of the Department of Neurosurgery. The OT was shared between the two departments at this stage, but as soon as the Neurosurgery OT Complex was commissioned, we were vested with the exclusive use of this OT complex.

The OT Complex

The OT complex occupies the centre of our department and our growth has been centered around it. The large window occupying its northern wall provides a soothing background of greenery and of bird activity. Two decades later the theatre was renovated and air-conditioned. From the very inception, we were well equipped. We obtained an electric dermatome in 1965 and we were the first to have a flash sterilizer and an operating microscope and power instruments for craniofacial surgery.

The Building of a Team

In April 1962, less than four months after its inception, Dr. Goleria joined the unit as Honorary Assistant Professor. On the same day on which Dr Goleria joined, Dr. Mrs Divekar, with experience in Plastic Surgery Anaesthesia, joined our OT and remained with us as a dedicated anaesthetist for years to come. Sister Solomon, trained abroad in Plastic Surgery, assumed the charge of our OT from its very inception. A few years later Mrs. Sheth, who not only had the skills of a dedicated Speech Therapist but also a special concern for our Cleft patients, joined us. Dr C.V.Mehendale, after a long stint in UK joined our department, as a ‘Pool Officer’ in 1966 and after a short while was absorbed in the Faculty.

Individuals, Leadership And Contributions

Dr. Charles J. T. Pinto

The speed and the methodical manner of the establishment of this department, speak volumes for the vision, dedication and tenacity of its founder. Dr. Pinto was a kind person, a compassionate human being, a loyal friend and an ever-willing fighter for justice. He was widely loved and respected. His memory lives not only in the department that he founded, but also in the Dr. Charles Pinto Centre dedicated to the treatment of Cleft lip and palate, founded by Dr. Hirji Adenwalla at Trichur, Kerala and in the CME programme of the Association of Plastic Surgeons of India which was dedicated to him years after he passed away. He had an abiding interest in the management of cleft lip and palate. The workload of clefts was heavy. Following cleft lip repair, to ensure timely repair of the palate and to cope with non-compliance they began doing both lip and palate simultaneously. Dr. Pinto using the golf terminology called this a ‘Hole-in-one Repair’, a concept that became dear to the heart of his successor. Along with Dr.Peet he described a procedure for urethroplasty in Hypospadias which was widely used in the department till early seventies. Realizing the importance of exposure to trauma management in the training of a Plastic Surgeon, the management of hand and maxillofacial trauma was brought within the purview of our department in 1965.

Dr. Pinto’s love for the department was unlimited. He passed away on 9th September 1970 , at the age of 54 – as he would have wished – in harness and within the department, soon after completing an operation.

Dr. Kuldip Singh Goleria (Prof and Head 1970 to 1989)

Shortly after Dr.Pinto’s death the mantle of heading the department fell on Dr. Goleria. Dr. Goleria’s interest in the ‘Hole-in-one repair’ of cleft lip and palate has been an abiding interest for over 40 years. In the initial stages it was the socio-economic need. Today it is the dictate of the local morbid anatomy. In 1980, part of the plastic surgery ward was converted to a 12-bedded Burns Unit for adult female patients with or below 50% burns. The aim was to do early grafting so as to prevent the development of deformities and contractures in females. This is the only plastic surgery department in BMC to have a Burns unit attached to it. The work of Tessier on craniofacial surgery witnessed at the 5th IPRS had aroused a desire to establish this specialty in the department. The advent of craniofacial surgery in 1983 – even then, a pioneering venture as far as our country was concerned was possible with the co-operation of the departments of Neurosurgery, Anesthesiology and Paediatric Surgery.

Dr. Chintamani V. Mehendale

Dr. Mehendale’s association with our department had spanned two decades, when he retired in 1986. Essentially, an individualist, he was a dedicated personality, intense in whatever he did and totally devoted to the welfare of the patients under his care. Improvisation and a quest for technical perfection were inbuilt in his personality. Endowed with a scientific mind and a fund of scientific knowledge, his inputs were wide ranging, from creating awareness of the requirements of Medical photography to the development of Surgical Instrumentation. He devised a collapsible vaginal mould for Vaginoplasty both for intra-operative and post-operative use. He also developed a “harness” for facial fractures, a pencil wire twister for jaw wiring, a needle holder for palate repair, a dynamic jaw exerciser, an adjustable skin grafting board and a blade guard. He mastered and developed the art of making facial moulages and photography. His interest in the Indian classical music and his knowledge of the physics of sound production was unique and manifested itself in developing “Anil Vadyam” a new musical instrument.

Dr. Suresh R. Tambwekar

Dr.Tambwekar’s interest in micro-vascular surgery precipitated the acquisition of an operating microscope. Re-plantations and free-flaps began to appear on our operation list in increasing numbers. Dr. Tambwekar is one of the pioneers of Microvascular surgery in India and he has also been the leading force in the establishment of an organised training program at the Ethicon Institute which attracts trainees from all over the country. A visit to China aroused his interest in the management of filarial lymphedema. Under his leadership the ovens used to provide the treatment in China were evolved into special chambers for providing heat therapy. In intractable cases, MRI venography led him to observe perivenous fibrosis in some cases. These improved after venolysis. A joint study was carried out by Dr. Tambwekar with Professor Edwin Turkof of Vienna , on the identification of the level of nerve blocks in Leprosy (for the purposes of selecting the site for nerve decompression) by the use of intra-operative evoked potential studies.

Dr. Roshani E. Rana (Prof and Head 1989 to 2006)

Dr. Rana, an alumnus of this institution, had joined the department as a postgraduate student in 1976. After her post-graduation she continued in the department as a Lecturer, and in 1989, on the retirement of Dr. Goleria assumed the responsibilities of Professor and Head of the department. Her interest in the treatment of vascular malformations has been enriched by the support of an excellent interventional radiology department. Pre-operative embolization of vascular malformations of head and face has made surgery almost bloodless. Availability of fibre-optic bronchoscope has enormously helped the work on temporo-mandibular joint ankylosis. The covering of the new articular surfaces with fascia lata on either side after release of ankylosis has made the post-operative course pain free. The department continues to attract patients from other parts of India for the management of mullerian agenesis and other intersex problems.

Dr. Vinita Puri (Prof and Head since 2008)

Dr Vinita Puri, an alumnus of LTMC and JJ group of Hospitals, joined the department as Lecturer in 1996. After the retirement of Dr. R.E.Rana in 2006, the department did not have a designated head. But the responsibilities of running the department were jointly managed by Dr. Vinita Puri and Dr. Amresh.S. Baliarsing who were both then Associate professors. A gifted surgeon, Dr. Puri pursued her interests in Cleft surgery, Hand Surgery, management of Vascular Malformations and Maxillofacial surgery and has set a benchmark in these fields with numerous indexed publications and presentations in conferences . Dr. Baliarsing concentrated his efforts in Microvascular surgery and has gained a formidable reputation in this field. The department conducted the Cadaveric flap dissection courses in 2006 and 2007 which was attended by plastic surgeons from all over the country.

Dr. Vinita Puri assumed the mantle of Professor and Head of the department in Oct 2008 and took the department to new heights in step with progressing times. She conceptualised and began the Aesthetic CME series, under the purview of which was conducted an invited lecture and workshop on Botox, fillers and Live operative Liposuction workshop in July 2009., Breast workshop in 2010, facial rejuvenation work shop in 2011, Hair transplant workshop in 2012. A live operative workshop on Brachial plexus surgery was conducted successfully in 2015

Dr. Puri has also commenced the Hand clinic in coalition with the occupational therapists and physiotherapists and Maxillofacial follow up clinic to improve patient care. Dr. Puri led and organized the country’s first and only paediatric Burn survivor camp. From 2013 to date six camps were conducted successfully which benefited a large number of child burn survivors, many of whom are now adults and doing well in life.

Dr. Puri’s team received their licence for Hand Transplant and conducted the first successful hand transplant in August 2021. The team also received the licence for Composite Tissue transplant (Face etc) in May 2021. Dr Vinita Puri also started tissue bank service in Jan 2023. The department has inpatient wards, state of the art OT complex and a Microvascular animal lab. Dr. Puri’s dedication to patient care, empathy towards patient suffering, sincerity and openness to new ideas and innovations make her popular with peers and students alike.

Sr. No.

Name

Designation & Qualification

Photograph

Teaching Experience

Email id

1

Dr. Vinita Puri

Professor & Head of Department

31 yrs

profpuri@gmail.com

2

Dr. Kapil Agrawal

Professor (Additional)

21 yrs

drkapils@rediffmail.com

3

 Dr. Venkateshwaran N

Honorary Visiting Consultant

 

venkatplastic@yahoo.com

4

Dr. Chandrashekhar Chalwade

Professor (Additional)

15 yrs

drcschalwade@gmail.com

5

Dr.Nilesh Shende

Associate Professor

14 yrs

drnileshshende1982@gmail.com

6

Dr. Raghav Mago

Assistant Professor (Contract)

4 yrs

raghav.mago2987@gmail.com

7

Dr. Vidhi Mehta

Assistant Professor (Contract)

3 yrs

drvidhim@gmail.com

8

Dr. Shubhanshu Gaurav

Assistant Professor (Bonded)

3 yrs

shubhanshugauravv@gmail.com

9

Dr. Joseph Francis

Assistant Professor (Bonded)

3 yrs

josephfrancis106@gmail.com

10

Dr. Nishant Tripathi

Assistant Professor (Bonded)


3 yrs

tripathinishant52@gmail.com

Location: Ward & Operation Theatre, Old Building, 2nd floor (Gynaecology Wing)

Ward No.

 

No. of Beds

Intercom Number

Ward 16

Male

25

7116

Female

15

7118

Ward 16-A

Burns ICU

12

7147

Operation Theatre

2 Major
1 Minor

 

7218

Occupational Therapy

Room no. 260

 

7420

Sister-Incharge

 

 

7240

Department consists of 52 beds (40 Plastic Surgery,12 Female & Pediatric Burns)

OT Complex :

2 Major Theatres & 1 minor Theatre
Routine Surgeries: Daily (Except Tuesday & Sunday). Tuesday – OT Washing Day
Emergency Surgeries: 24 x 7

Tissue Bank :  It was inaugurated on 5th January 2023 by Dr Krishan Kumar, Director – NOTTO.
Skin and amniotic membrane is being harvested. Patients in public as well as private hospitals can access the skin and amniotic membrane, which is available at concessional rates.
Location: 11th Floor, New Building (MSB)


Research Lab:

  • Micro Lab for experiments on animal models.
  • Hands on training for microvascular surgery on models.
  • Any other experimental clinical work.

Library
Apart from central library, the department houses books on various subjects of Plastic Surgery for ready reference — 24 X 7

KEM internet library facilities: for online journals & books.

OPD:
Venue: OPD 11, next to RMO canteen (container)
Day/ Time: Tuesday & Thursday → 1:30 pm to 3:30 pm

Speciality Clinics:

Hand Clinic → Thursday 1:30 pm to 3:30 pm
OPD 11- next to RMO canteen (container)
Attended by Plastic Surgeon, OT & PT

Transplant clinic for B/l or U/l Hand amputees –
Tuesday 1:30 pm to 3:30 pm
Thursday 1:30 to 3:30 pm
OPD 11 - next to RMO canteen (container)
Attended by Plastic Surgeon, OT & PT

Maxillofacial Clinic → Monday 1:30 pm to 2:30 pm
Ward 16 (Old Bldg, 2nd Floor)
Attended by Plastic Surgeon & Maxillofacial Surgeons.

Breast Clinic →Wednesday 1:30 pm to 3:30pm
OPD 11 - next to RMO canteen (container)
Attended by General Surgeons (Under Dr. Shilpa Rao, Professor and Unit Head, General Surgery)  + Plastic Surgeons

Birth defect clinic→ Thursday 1:30- 3.30pm
OPD no. 10.
Attended by various specialties (under Dr. Sandesh Parelkar, Prof and Head- Pediatric Surgery)

References:
Routine:

  • Ambulatory indoor patient are seen in OPD. Discharged patients are asked to follow up in routine OPD.

Emergency:

  • Minor injuries and stable patients can be sent to Ward 16 (or to the OPD, during OPD timings) for assessment.
  • Emergency patients/ Polytrauma patients/Unstable patients will be assessed by the residents in emergency room or respective wards from where reference is sent.

Do’s& Don’ts for referrals (inside the hospital):

  • Written calls preferable as they are logged in ward 16 register for traceability.
  • Please mention – Urgent / Routine on the call. As we receive many reference calls every day please be assured that all routine calls will be attended within 24 hours of receiving it.  Telephonic calls can be done in an emergency BUT these should be followed by written calls also as all these calls are logged in our register kept in ward 16.

  • Hand and FaceTransplants
  • Repair of Maxillofacial trauma injuries
  • Acute burns and post burn reconstruction
  • Replantation and revascularization
  • Cleft Lip & Palate repair
  • Reconstruction for Congenital Hand and Limb/Anomalies
  • Flexor and extensor tendon repair
  • Vascular anomalies
  • Flap Surgeries: for cover of tendons, Bones, Nerves, Vessels
  • Head and Neck– Reconstruction of defect following Wide Local Excision of Oral malignancy using Pedicled / Microvascular Free Flaps.
  • Oculoplastic Surgeries – Ptosis, Ectropion, Eyelid reconstruction, Socket reconstruction.
  • Ear & Nose reconstruction.
  • Neck – Post burn contracture, Torticollis, Pharyngo-esophageal reconstruction.
  • Breast reconstruction, Chest/Abdominal wall reconstruction.
  • Brachial Plexus/ Peripheral Nerve Injuries reconstruction – Myo-neurotisation, Tendon Transfers, Free Functional Muscle Transfer.
  • Flaps for Lower Limb Trauma +/- Bone loss.
  • Vaginoplasty for agenesis, coverage for closure during vesicovaginal fistula, recto-vaginal fistula
  • Hair Treatment(Alopecia)- Surgical (Hair Transplantation), Non-Surgical (Medical Therapy, PRP)
  • Facial Rejuvenation ( Face Lift, Neck Lift, Forehead Lift, Blepharoplasty, Brow Lift)
  • Rhinoplasty –( For post-traumatic deviated nose, cleft lip nasal deformity)
  • Lip Augmentation ( Fillers, Auto Fat Grafting)
  • Chin Augmentation (Implants, Genioplasty, Autografts using Cartilage, Fat)
  • Ear Lobe Repair
  • Keloid Excision
  • Botox , Fillers
  • Gynecomastia surgery (Male Breast Reduction)
  • Breast Augmentation
  • Breast Reduction
  • Liposuction for Gynecomastia, Body contouring.
  • Abdominoplasty (Tummy-Tuck)
  • Fat grafting for hollow cheeks, depressed scars, lip augmentation, nasolabial folds.
  • Scar revision
  • Dermabrasion for post-acne scar
  • Transgender surgery
  • Genital rejuvenation

  • Recognized by M.U.H.S. for M.Ch degree 3 years course. It is also a centre for conducting M.Ch & DNB Plastic surgery examinations.
  • No. of seats: M.Ch degree: 4 per year
  • The unit consists of 4 RECOGNISED TEACHERS.
  • Residents: 4 in each of the three batches, Senior Resident post– 2, SSMO – 4
  • Lectures are delivered for UG, PG, OT, and PT students.
  • Weekly seminar (every Tue 10.30 am), journal reading, case presentations form part of teaching.
  • Visiting guest faculty- 2nd Tuesday of every month.
  • Residents are encouraged to attend various workshops and present papers in conferences in rotation.

Observers

  • An observer post lasting from 1-3 month duration is available.
  • Accommodation is not provided & arrangements for stay need to be made independently.

Library

The departmental library houses more than 400 books and journals pertaining to our specialty. Right at the inception we were able to borrow some classics from the Bacha Memorial Library of our Hospital and these are our prized possessions. A number of books autographed by the authors are a valued part of this collection. e.g. “The essentials of Plastic Surgery” by Eric Peet and Tom Patterson.
All research work done in the department in form of thesis submitted to Mumbai University are also catalogued in our library.

Suggested books for reading:

  • Plastic surgery textbook - Peter C. Neligan
  • Indian Textbook of Plastic Surgery- Karoon Agrawal
  • Plastic Surgery – Stephen J. Mathes
  • Grabb and Smith's Plastic Surgery
  • Fundamentals of plastic surgery - Mcgregor
  • Lister’s The Hand: Diagnosis and Indications
  • Green’s Operative Hand Surgery – David Green
  • Cleft Craft – D. Ralph Millard
  • Burns reconstructive surgery - Achauer and Sood
  • Principles & practice of Burn Care – Sujata Sarabai
  • Total Burn Care – David N. Hendonn
  • Flaps & Reconstructive surgery – Fu-Chan Wei & Samir Mardini
  • Reconstructive Surgery – Principles, Anatomy & Techniques for flaps– Stephen Mathes & Foad Nahai

Schedule for Weekly Academic Activity Presentations

Note:

  • Presentations every Tuesday by senior residents.
  • Clinical case presentations and operative procedures discussions by 3rd year residents every week.

Sr.No

Topics for SR1
(20 mins)

Topics for SR2/3
(20 mins)

1

Hand Anatomy

Post burn and trauma hand contractures
(Anatomy, Etiopathogenesis, Management)

2

Hand Incisions

EMG –NCV studies

3

Finger tip Injuries

Mangled Hand

4

Burns (Acute Management)

Early tangential Excision

5

Skin Graft

Skin Banking

6

Z plasty and types

Skin Substitutes

7

Bone Healing

Regional Anesthesia in Upper limb surgery

8

Classification of flaps

Flap Physiology

9

Flap delay and Monitoring

Bio geometry of flaps

10

Tendon Healing

Tendon Transfer principles

11

Photography in Plastic Surgery

Tissue expansion

12

Flexor tendon Injury

Congenital Hand anomalies
(Embryology and Classification)

13

Extensor tendon Injury

Radial Club Hand Management

14

Skin lines

LASERS in Plastic surgery

15

Tourniquet

Vascular Malformation

16

Mandible #
( Anatomy, Principles and Management)

Lip Reconstruction

17

Zygomatic # And Management

TMJ ankylosis

18

Fat Grafting

Principles of PBC release

19

Vein Graft and Nerve Graft Harvest

Eyelid Reconstruction + Ptosis

 

20

 

Costal Cartilage Harvest

Microtia

21

NPWT

Pressure sore

22

Carpal Tunnel syndrome

Cleft lip and Palate ( Embryology, Etiopathogenesis and Classification)

23

Replantation

Facial Nerve Palsy

24

Cartilage warping

Cartilage Carving and Counterbalancing Technique

25

Upper limb examination

Nasal analysis and rhinoplasty

26

Maxillofacial examination

Nerve injuries and management of upper limb

Patient Feedback

We take verbal feedback of our patients about how they feel about their management and the care providers. We believe that our patients are our true assessors and their feedback will help us improve our care.

Patient Education

We educate our patients about various burn injuries and try to raise awareness in the soceity about the need for timely and correct first aid. We educate them about the post burn care. We teach our patients to be self sufficient and give them knowledge for post reconstruction physiotherapy. Emphasis on Exercises is especially focused for post trauma, brachial plexus injuries and burn injuries.

UNITS
We are currently a single unit department, headed by Dr Vinita Puri.

 

Chapter On Management Of The Burned Face

Neligan’s Textbook Of Plastic Surgery, 4th Edition, Volume 4 Section 3, Chapter 20. Published By Elsevier

 

 

Chapter On Deformities In Face

 Jopling’s Handbook Of Leprosy 6th Edition

 

 

Chapter On Hand Burns

Textbook Of Plastic, Reconstructive And Aesthetic Surgery.  Vol 5, Thieme Medical Publishers

 

 

Chapter On Future Of Burns

Textbook Of Plastic, Reconstructive And Aesthetic Surgery.  Vol 5, Thieme Medical Publishers Newyork

 

 

Chapter On Head Neck And Face Burns

Textbook Of Plastic, Reconstructive And Aesthetic Surgery.  Vol 5, Thieme Medical Publishers Newyork

 

 

Chapter On Vascular Anomalies

Textbook Of Plastic, Reconstructive And Aesthetic Surgery.  Vol 1, Principles And Advances In Plastic Surgery Chapter 16, 319-344 Thieme Medical Publishers Newyork

 

 

Chapter On Foot Burn Reconstruction

Global Reconstructive Surgery By James Chang. Published By Elsevier

 

 

Chapter On Secondary Rhinoplasty

Textbook Of Plastic, Reconstructive And Aesthetic Surgery
Thieme Medical Publishers  Newyork

 

 

Chapter On Burns Of Trunk And Genitalia

Textbook Of Plastic, Reconstructive And Aesthetic Surgery
Thieme Medical Publishers  Newyork

 

 

Building Rhinoplasty Practice

Textbook Of Plastic, Reconstructive And Aesthetic Surgery
Thieme Medical Publishers  Newyork

 

 

Measuring True defect

BURNS

2023

 

Columellar Lengthening In Primary And Secondary Rhinoplasty For Binder’s Syndrome: A Fresh Perspective

Indian Journal Of Plastic Surgery

2023

 

Study To Determine The Effect Of Diaper-Based Wound Care Method In Reducing Wound Contamination Period In Patients Suffering From Perianal Burn Wound

Indian Journal Of Plastic Surgery

2023

 

Effectiveness Of An Ergonomic Intervention Program In College Students Carrying Backpack In A Metropolitan City

Int J Health Sci Res. 2021;11(2): 157-170.

2021

 

Getting Back On Their Feet : A Single Case Study

International Journal Of Science & Healthcare Research 2021;6(1):196-200

 

2021

 

W-Plasty: An Important Tool For Cross Hatch Mark

Indian Journal Of Plastic Surgery2021;54(02):246-247

2021

 

How To Measure The True Defect While Planning Reconstruction In Cases Of Burn Contractures

Burns 2021

2021

 

Dermo-Peritoneal Flap: A Novel, Safe And Effective Technique To Manage Abdominal Defects In Complicated Recurrent Incisional Hernia.

Indian J Surg.2020; 82: 651–655

2020

 

Functional Hand Assessments: A Review From The Indian Perspective

Indian Journal Of Applied Research June 2020.
Doi: 10.36106/Ijar

2020

 

A Review Of Skin Banking Guidelines And Standards Worldwide: Towards The Harmonization Of Guidelines For Skin Banking In Therapeutic Applications For The Regions Under The Asia Pacific Burn Association (APBA)

Burns Trauma 2020 Oct 20;8:2019

2020

 

Post Nerve Transfer Neuroplastic Motor Retraining Program In Adults With Traumatic Brachial Plexus Injury: A Physiotherapist’s Perspective

Journal Of Society Of Indian Physiotherapists, August, 2019;3(2):53-57

2019

 

Neuroplasticity, A Boon In The Management Of Traumatic Brachial Plexus Injury After Nerve Transfer: A Narrative Review

Indian Journal Of Research Volume-8 | Issue-5 | May-2019

2019

 

Patients’ Perception Of Quality Of Life After Traumatic Brachial Plexus Injury – A Qualitative Study

Hand Therapy. 2019;24(2):55-61

2019

 

Clinical Evaluation Of Balance In Adults With Traumatic Brachial Plexus Injury

International Journal Of Medical Research & Health Sciences, 2019, 8(4)

2019

 

Gynecomastia: Our Experience At Tertiary Centre

International Journal Of Recent Scientific Research
Vol. 10, Issue, 06(G), Pp. 33160-33163,

June, 2019

 

The Scourge Of Burn Contractures: Who Will Bell The Cat?

Burns 2019 45 (4), 791-797

2019

 

Childhood Burns Leading To Skeletal And Soft Tissue Deformities: A Case Report

Journal Of Burn Care & Research, Volume 40, Issue 2, March/April 2019, Pages 259–261

2019

 

First Dorsal Metacarpal Artery Flap A Workhorse For
Reconstruction Of Selected Small Defects Of The Hand

Turk J Plast Surg
2019;27:98-103.

2019

 

Shetty Rj, Gupta Y, Palsule Sp, Kale J, Shah P. Effect Of Smartphone Use On Hand Dexterity In Medical Students : An Observational Cross-Sectional Study

Indian J Occup Ther2019;51:136-9

 

2019

 

Negative Pressure Wound Therapy For The Management Of Burn

Kci Wound Compendium

2019

 

Suction-Assisted Device: A Substitute To Postoperative Packing
Of Abscess Cavity In Patients With Ear Burns

Indian Journal Of Otology

2019

 

Vacuum-Assisted Closure Therapy For The Management Of Necrotizing Fasciitis

Kci Wound Compendium

2019

 

Restoring Hope: The Burn Unit, Kem Hospital

Indian J Burns 2018;26:6-8

2018

 

 

Orbital Floor Reconstruction: The Surgical Dilemma

International Journal Of Education And Research In Health Sciences, 1(4):00-00

October  2018

 

Pressure Bandaging For Fingers Using Finger Crepe: An Economic And Effective Method

Journal Of Clinical And Diagnostic Research.

2018 April

 

Prevention Of Microstomia In Patients Having Perioral Burns.

Indian J Burns 2018;26:106-7.

2018

 

  “Use Of “Tent – Pole” Graft For Setting Columella- Lip Angle In Rhinoplasty”

Plastic And Aesthetic Research
Journal
Plast Aesthet Res 2018;5:13.

2018

 

Dr. Kuldeep Singh Goleria: A True Karma Yogi

Indian J Plast Surg. 2017 Sep-Dec; 50(3): 228–229.

2017

 

Models Of A Different Kind

Indian J Burns 2017;25:1-2

2017

 

Management Of Complications Of Medpor® Implants In Rhinoplasty

Plastic And Aesthetic Research
Journal
Plast Aesthet Res 2017;4:54-6

2017

 

Acetic Acid Dressings: Finding The Holy Grail For Infected Wound Management.
.

Indian J Plast Surg 2017;50:273-80

2017

 

Instrumentation In Maxillofacial Surgery: Few Practical Tips

Archives Of Plastic Surgery 44(6):573-574

2017

 

Working In A Burn Ward: A Resident’s View Point

Burns (2016),

2017

 

Holistic Burn Care: Survival And Beyond,

Burns (2017),

2017

 

A Refined Technique For Management Of Nasal Flaring: The Quest For The Holy Grail Of Alar Base Modification.

Archives Of Plastic Surgery 43(6):604

2017

 

A Clinicoepidemiological Study Of Burns At A Tertiary Care Hospital At Mumbai, India

Iosr Journal Of Dental And Medical Sciences (Iosr-Jdms)2

2017

 

Retrospective Study Of Pediatric Burns Cases At A Tertiary Care Referral Centre

IJSR - International Journal Of Scientific Research

2017

 

Development Of International Outcomes Instrument For Hand And Upper Extremity Burn Scar Contracture Release

Journal Of Burn Care & Research: Official Publication Of The American Burn Association · August 2016 (Doi: 10.1097/Bcr.0000000000000403)

2016

 

The Stanford-Resurge Burn Scar Contracture Scale For Neck: Development And Initial Validation For Burn Scar Contracture

Plastic & Reconstructive Surgery 138(5):896e-902e · November 2016. (Doi: 10.1097/Prs.0000000000002840)

2016

 

ISBI Practice Guidelines For Burn Care

Burns 42(5):953-1021 · August 2016 (Doi: 10.1016/J.Burns.2016.05.013)

2016

 

Ekla Chalo Re… (Walk Alone…)

Indian J Burns 2016;24:1-2

2016

 

Revisiting The Pencil Wire Twister: An Instrument Par Excellence

J Oral Maxillofac Surg 74:2338-2339, 2016

2016

 

Total Nasal Septal Reconstruction Using Costal Cartilage In Difficult Cases Of Secondary Septoplasty

Plast Aesthet Res 2016;3:306-10

2016

 

“Text-Neck View”: A New Photographic Tool For Assessment Of Nasal Dorsum In Crooked Noses.

Plast Reconstr Surg 2016

Prs Vol 138 Viewpoints P 166e-167e

2016

 

Revisiting Mehendale’s Needle Holder For Cleft Palate Surgery: A Gift From The Bygone Era

Indian J Plast Surg 2016;49:293-4

2016

 

Ingenious Technique Of Smoothening Costal Cartilage Graft By Glass Polishing Disc.

Indian J Plast Surg 2016;49:288-9

2016

 

An Innovative Technique For Columellar Reconstruction Using ‘Flip-Over’ Buccal Mucosa Flap.

J Clin Diagnos Resear 2016; 10:Pd05-Pd06

2016

 

Diced Cartilage Under Perichondrial Carpet With Reinforcement (Dcup) Technique For Nasal Dorsal Augmentation.

J Cleft Lip Palate Craniofac Anomal 2016;3:3-8

2016

 

Autologous Fat Transfer For Esthetic Contouring Of Face In Post-Traumatic Nonfunctional Maxillofacial Deformities

CMTR 2016 Jun 9(2)P 113-20

2016

 

A Refined Technique For Management Of Nasal Flaring: The Quest For Holy Grail Of Alar Base Modification

APS Vol. 43 / No. # / Month 2016

2016

 

An Innovative Technique For Columellar Reconstruction Using Flip-Over Buccal Mucosal Flap

Journal Of Clinical And Diagnostic Research. 2016 Jul, Vol-10(7): Pd05-Pd06

2016

 

Ingenious Technique Of Smoothening Costal Cartilage Graft By Glass Polishing Disc.

Indian Journal Of Plastic Surgery May-August 2016 Vol 49 Issue 2 P.288-89

2016

 

Be The Change

Indian J Burns 2015;23:1-2

2015

 

Labial Keloid: Rare Presentation Of A Common Malady.

Indian J Burns 2015;23:92-3

2015

 

A Novel Technique Of Defattening Large Full Thickness Skin Grafts.

J Clin Diagnos Resear 2015;9(12):Pl01

2015

 

Namaste (Counterbalancing) Technique: Overcoming Warping In Costal Cartilage.

Indian J Plast Surg 2015;48:123-8

2015

 

Ossified Costal Cartilage During Rhinoplasty: A Surgical Dilemma.

Indian J Plast Surg 2015;48:327-8

2015

 

A New Minimally Invasive Aesthetic Procedure For Correction Of Frontal Coup De Sabre Deformity In Romberg

J. Maxillofac. Oral Surg. (2015) 14(Suppl 1):S401

2015

 

Ride On Technique And Other Simple And Logical Solutions To Counter Most Common Complications Of Silicone Implants In Augmentation Rhinoplasty

May-August 2015; Vol 48 Issue 2 48:172-7

2015

 

Education In Plastic Surgery: Are We Headed In The Right Direction? 

Indian Journal Of Plastic Surgery, Year 2014, Volume 47, Issue 1 [P. 109-115]

2014

 

Mass Media Magic: The Power To Empower

Indian J Burns 2014; 22:1-2

2014

 

A Novel Technique For Correction Of Congenital Cleft Of Ala

Journal Of Cleft Lip Palate And Craniofacial Anomalies July-Dec 2014.Vol1.Issue2

2014

 

Aesthetic Makeover Of A Syndromic Face

Journal Of Cleft Lip Palate And Craniofacial Anomalies July-Dec 2014.Vol1.Issue2

2014

 

Survivors Of Pediatric Burns - Reclaiming The Joys Of Childhood

Indian J Burns 2013; 21: 1-2

2013

 

Replacing The Displaced Tissue In Difficult Wounds: Reducing The Morbidity Associated With Wound

Journal Of Orthopaedics And Allied Sciences, 2013, Volume 1, Issue 1: 22-23

2013

 

Serial Splintage: Preoperative Treatment Of Upper Limb Contracture

Burns. 2013 Feb 28. Pii: S0305-4179(13)00013-2. Doi: 10.1016/J.Burns.2013.01.010

2013

 

Replacing The Displaced Tissue In Difficult  Wounds: Reducing The Morbidity Associated With Wound Cover

Journal Of Orthopaedics And Allied Sciences Jan-Jun 2013.Vol1.Issue1

2013

 

A Comparative Analysis Of Early Excision And Grafting Versus Delayed Grafting In Burn Patients In A Developing Country

Journal Of Burn Care & Rehabilitation

2013

 

Israel Burn Camp Visit: Reflections And Reactions

Indian J Burns 2012;20:3-4

2012

 

A Journey Of A Thousand Miles

Indian J Burns 2012;20:1-2

2012

 

Socio-Economic Burden Of Burns: How Do The Families Of Patients Cope?

Indian Journal Of Burns 2012; 20(1).48-52

2012

 

Trophic Ulcers - Practical Management Guidelines

Ijps May-Aug 2012, Vol 45, Issue 2, 340-351

2012

 

A Simple Method Of Applying Ear Dressing In Microtia Patients

Indian Journal Of Otology July 2012. Vol 18, Issue , 154-5

2012

 

Vaginal Agenesis- A 25 Year Audit Of 42 Cases

Scientific Transactions,  APSICON  2009, Pages 286-288

2009

 

Fire Cracker Injuries: A Ten Year Study.

International
J Plast Reconstr Aesthet Surg. J Plast Reconstr Aesthet Surg.

2009 Sep

 

Lactiferous Duct Reconstruction For Obstructive Engorgement Following Traumatic Nipple Damage.

International
Int J Gynecol Obstet

2009 Jan

 

Vascular Anomalies- An Audit Of 300 Cases Over 7 Years,

National
Scientific Transactions, APSICON 2009,

2009

 

Peripheral Nerve Schwanomas: A Report Of 5 Cases

Scientific Transactions,  APSICON 2009

2009

 

Faciomaxillary Surgery - Our Experience : Anaesthesiologist's Perspective.

The Internet Journal Of Anesthesiology. 2007. Volume 12 Number 1

2007

 

Posterior Interosseous Artery Flap, Fasciocutaneous Pedicle Technique: A Study Of Twenty Five Cases –

International
J Plast Reconstr Aesthet Surg.

2007

 

The Use Of Ketamine For Release Of Post-Burn Neck Contracture.

National
Bombay Hospital Journal.

2007

 

Access To Scientific Research Papers.

National
Indian Journal Of Plastic Surgery

2007; July

 

Faciomaxillary Surgery – Our Experience : Anaesthesiologist’s Perspective.

Internet
The Internet Journal Of Anesthesiology.

2007

 

Use Of “Henna” As A Skin Marker:

International
J Plast Reconstr Aesthet Surg

2006

 

Sweat Gland Tumor (Eccrine Porocarcinoma) Of Scalp: A Rare Tumor.

National
Indian Journal Of Plastic Surgery.

June 2005

 

 Early Post-Operative Rehabilitation With A
Pneumatic Weight-Bearing Temporary Prosthesis

Indian Journal Of Occupational
Therapy. 2004; Vol Xxxvi: No.1 ;17-22

2004

 

Principles Of Plastic Surgery Revisited.

National
Indian Journal Of Plastic Surgery.

Dec.2004

 

Median Cleft Of Mandible And Lower Lip With Ankyloglossia And Ectopic Salivary Gland On Tongue.

National
Indian Journal Of Plastic Surgery.

2004

 

An Epidemiological Survey Of Thermal Burns From India

Plastic And Reconstructive Surgery Journal. Aug. 2003: 718

2003

 

Simple, Effective Replacement For Esmarch Bandage.

National
Indian J. Plastic Surgery.

2003

 

A Simple Method Of Measuring Volume In Lymphedema Patients.

National
Indian J. Plastic Surgery.

2003

 

Preparation Of Plaster Moulage (Cast) In Plastic Surgery Patients.

National
Indian J Plastic Surgery.

2003

 

Measurement Of Inter-Incisor Distance In The Indian Population.

International
Annals Of Plastic Surgery,

2001

 

A Retrospective Analysis Of Suicidal Burns In Indian Women.

National
Indian Journal Of Plastic Surgery,

Dec 2000

 

An Epidemiological Survey Of Thermal Burns In Adult Females In A Burns Unit Of Mumbai.

National
Indian Journal Of Plastic Surgery,

June 2000

INTERNATIONAL AND NATIONAL CONFERENCES:

  • 29th annual conference NABICON 2021-2022, Mumbai
  • Organised 29th annual conference of National academy of Burns India- NABICON 2021-2022. It was a hybrid conference held at Fortune Park Lake City , Thane. It was proudly organised by our department. It was co- hosted by Jupiter hospital, Thane. Our logo was the charkha, which symbolises a change in thought and actions. The conference theme was “ to see the change, be the change”.

  • 50th Golden Jubilee APSICON, 2015
  • Dr. Vinita Puri was the organizing Secretary of this conference and hence the department participated in its organization. The 50th Golden Jubilee annual conference APSICON was held at Renaissance Convention Hotel, Mumbai from 28th to 31st December 2015. The preconference activities were held from 25th to 27th Dec., 2015 at Tata Memorial Hospital, Parel, Mumbai. It was attended by eminent national and international plastic surgeons. It was also a huge hit amongst the budding plastic surgeons

  • World Society of Reconstructive Microsurgery, 8th Congress, 2015
  • It was held at Mumbai in 2015. Dr. Vinita Puri was the Conference Coordinator for this conference. It was attended by microvascular surgery experts from all over the world.


CADAVERIC HAND AND FACE TRANSPLANT WORKSHOP

  • Cadaveric Hand Transplant Hands-on Workshop, 30th July 2023 - Conducted at the cadaveric dissection skills lab at Nair hospital, with cooperation of Dept of plastic Surgery at Nair hospital. We had eminent faculty to teach hand transplant and procedure for flap dissection.
  • Cadaveric Hand-Face Transplant Hands-on Workshop, 12th April 2023
  • Cadaveric Hand transplant workshop, December, 2022 - Conducted at KEM hospital skills lab to teach hand transplant procedure and pre and post op care. It was attended by various eminent plastic surgeons across the country.
  • Cadaveric Hand transplant workshop, April, 2022
  • Cadaveric Hand Transplant Workshop, 10th March 2020 - Conducted with huge success in the cadaveric dissection lab in our hospital on 10th March, 2020. It was attended by numerous trained surgeons to polish their skills on transplant. They were given an overview of the procedure along with necessary information on the pre and post op care.

CADAVERIC FLAP DISSECTION WORKSHOP

  • Cadaveric Flap Dissection Workshop, 11th March 2024
  • Conducted for the post graduate students, which helped them in learning the basic anatomy and procedure of raising flaps. Free fibula flap, lateral arm flap, gastrocnemius flap, lateral calcaneal flap, medial plantar flap, anterolateral thigh flap, latissimus dorsi flap were raised by the residents, while under supervision by the faculty.

  • Cadaveric Flap Dissection Workshop, July 2023
  • Conducted at the cadaveric dissection skills lab at Nair Hospital. It was organised by KEM Plastic Surgery Dept., in association with Nair Hospital Plastic Surgery Dept. Various teams for flap dissection were made and hands on experience was given. Anterolateral thigh flap, free fibula flap, deltopectoral flap, pectoralis major myocutaeous flap, radial forearm flap, recuts abdominal flap were dissected. Dr Rajendra Nehete demonstrated toe transfer procedure.

  • Cadaveric Flap Dissection Workshop, June 2021
  • Conducted at the cadaveric dissection skills lab at Nair Hospital. It was organised by KEM Plastic Surgery Dept., in association with Nair Hospital Plastic Surgery Dept. Various teams for flap dissection were made and hands on experience was given. Anterolateral thigh flap, free fibula flap, deltopectoral flap, pectoralis major myocutaeous flap, radial forearm flap, recuts abdominal flap were dissected. Dr Rajendra Nehete demonstrated toe transfer procedure.

  • Cadaveric Flap Dissection Workshop, January 2021
  • Conducted at the cadaveric dissection skills lab at Nair Hospital. It was organised by KEM Plastic Surgery Dept., in association with Nair Hospital Plastic Surgery Dept. Various teams for flap dissection were made and hands on experience was given. Anterolateral thigh flap, free fibula flap, deltopectoral flap, pectoralis major myocutaeous flap, radial forearm flap, recuts abdominal flap were dissected. Dr Rajendra Nehete demonstrated toe transfer procedure.

  • Hands on Cadaveric Flap Dissection Course Dec 2007
  • Hands on Cadaveric Flap Dissection Course Dec 2006

LIVE OPERATIVE WORKSHOPS

A. AESTHETIC WORKSHOPS:

  • Aesthetic CME Series – 4th Live operative Workshop – on hair restoration 30th June 2013
  • The Department of Plastic surgery conducted a Live operative workshop on hair restoration on 30th June. This was the fourth of a series of workshops to be held as part of the Aesthetic CME series the department conducts yearly. Dr. Rajesh Rajput and Dr. Sandeep Sattur, renowned Aesthetic and hair transplant surgeons, demonstrated their skills acquired from years of experience. A total of two patients were operated on, dealing with patient selection, decision making and planning, various techniques of hair extraction, and grafting.

  • Celebration of the Golden Jubilee Year of Department of Plastic Surgery at KEM Hospital :a Plastic Surgery Alumni CME on 3rd Dec and Live operative Multimodality Facial Rejuvenation Workshop on 4th Dec 2011
  • The Department of Plastic surgery conducted a Plastic Surgery Alumni CME on 3rd Dec and Live operative Multimodality Facial Rejuvenation Workshop on 4th Dec 2011. This was our Golden Jubilee Year hence the department celebrated it by hosting a Plastic Surgery CME for all our Alumni which was followed next day by the workshop. Almost 80% of our Alumni from all over the country and abroad attended the CME and gathering. The guest lectures and presentations covering many aspects of Plastic Surgery were appreciated by all. This event paved the way for a very meaningful academic interaction between Alumni, delegates and our post graduate students. The CME was also accredited by the Maharashtra Medical Council and all delegates and faculty received credit points for same. The workshop was the third in the series of workshops held as part of the Aesthetic CME Series the department conducts yearly. Dr.Shailesh Vadodaria, Consultant Plastic Surgeon from London and Dr. Milind Wagh, Consultant Plastic Surgeon from Mumbai, both renowned Aesthetic surgeons, demonstrated their surgical skills and shared their knowledge acquired from years of experience. Videos of thread lift and laser resurfacing were also discussed by Dr. Viraj Tambwekar and Dr. Dhami. Non operative methods of rejuvenation were demonstrated by Dr. Dhami and a team of Dermatologists lead by Dr. Sangeeta Amladi and Dr. Narmada Matang. Procedures were done on a total of seven patients. Procedures done were – 2 cases of Face lift, radiofrequency for resurfacing (Dr. L. D. Dhami), dermal fillers, botox, derma rollers and chemical peels.

  • Aesthetic CME Series – 2nd Live operative Workshop – on Breast surgery 25th July 2010
  • This was the second of a series of workshops to be held as part of the Aesthetic CME series the department conducts yearly. Dr. Lakshyajit Dhami, renowned Aesthetic and Laser surgeon, demonstrated his skills acquired from years of experience, aided by Dr. Ajay Haryani and their team and plastic surgeons of KEM hospital. A total of four patients were operated on, dealing with Augmentation of unequal sized breasts with silicone implants, Bilateral reduction of large sized breasts, Immediate reconstruction post cancer excision with a pedicled TRAM flap (expertly demonstrated by Dr. Sitaram Prasad and Dr. VinodVij) and Placement of tissue expanders in a flat chest male pseudohermaphrodite.

  • Aesthetic CME Series – 1st Live operative Workshop – on Liposuction 26th July 2009
  • This was the first of a series of workshops to be held as part of the Aesthetic CME series the department hopes to conduct once a year. Dr. Lakshyajit Dhami, renowned Aesthetic and Laser surgeon, demonstrated his skills acquired from years of experience, aided by his team and plastic surgeons of KEM hospital. A total of six patients were operated on, dealing with fat deposits on the buttocks, abdomen, medial thigh regions, arms, and neck. Other interesting cases dealt with were gynaecomastia, hemifacial lipomatosis, and post reduction mammoplasty secondary breast liposuction.

  • Workshop on Botox & Fillers - Feb 2009
  • It was the first aesthetic workshop conducted at our institute. Eminent plastic surgeons demonstrated the procedures for botulinum toxin injections and filler injections for the face.

B. LIVE OPERATIVE BRACHIAL PLEXUS WORKSHOP 2016


BURNS CME

  • Organized by the Department of plastic surgery & Department of preventive and social medicine by 23rd Jan 2013.
  • Dr. Michael Peck, MD, ScD, FACS, Director of Ambulatory and International Outreach Programs, The Arizona Burn Centre, Phoenix, Arizona; Clinical Professor of Surgery, University of Arizona; Adjunct Professor, Division of Community, Environment and Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona Health Sciences Centre, Tucson visited our Department. He shared his views and experiences with us and had an interactive CME.

FOR MBBS STUDENTS:

  • Workshops in Confluence 2023
  • Organised suturing workshop and ‘Scope of plastic surgery’ workshop for students of MBBS as part of International conference Confluence at KEM hospital. Dr Viraj Tambwekar, a cosmetic plastic surgeon in private practice, shared stage with the faculty of Plastic Surgery Department. At this workshop Students had opportunities for hands-on in microsurgery on models, local flap planning, wound management and burn dressings.

  • Workshops in Confluence 2022
  • Organised suturing workshop and scope of plastic surgery workshop for students of MBBS as part of International conference Confluence at KEM hospital. Dr Milan Doshi, a renowned cosmetic plastic surgeon, was invited to be a part of the faculty for teaching advances in aesthetics to the MBBS students. Students were taught the basic suturing skills and told about the various sub specialities of plastic surgery like onco-reconstruction, microsurgery, aesthetics, burns, congenital disorders and gender identity disorders.

  1. Partnership with ReSurge. They provide financial assistance to our patients.
  2. Camp Karma/ Camp Aashakiran – The only national annual Burns survivor camp for kids organized by us yearly.
  3. Voluntary services at Medical & Surgical Camp at Upleta, Gujarat in January every year for last ten years. Organized by Saurashtra Sarvodaya Society.
  4. Voluntary services by our team every 6 months for Cleft lip and burn reconstruction surgeries on the Lifeline Express (Impact India).
  5. Helping Hands hospital, Dehradun for management of post burn contracture patients, in partnership with Resurge on 29th November 2022.
  6. Walkathon –Public Awareness Campaign in Jan 2016

MILESTONE – HAND TRANSPLANT DONE IN AUGUST 2021
KEM Hospital became the first public health facility in Maharashtra to perform hand transplant.


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