Management of Fingertip Injuries.

Abstract Fingertip injuries are one of the most common injuries sustained by human beings owing to various reasons as domestic, occupational, road traffic accidents or due to violence. The injury to the fingertip needs proper assessment and reconstruction so as to provide the proper tissue replacement.we describe our experience of 50 patients of fingertip injuries requiring reconstruction using one or other modality over a period of three years presenting to our hospital.

Profile of Human Bite Facial Injuries and Their Management.

Human bite facial injuries pose a challenge to the reconstructive surgeons. The site of defect, the three dimensional nature of defect and the need for restoration of the cosmesis of facial unit involved is technically demanding. We describe our experience of 26 patients of human bites to the face with soft tissue loss requiring reconstruction using one or the other modality over a period of 4 years presenting to our hospital.

A Study of Male Sterilization with No Scalpel Vasectomy.

No scalpel vasectomy (NSV), a minimal invasive technique for vasectomy is simple, safe, fast, more effective and less expensive operation for male sterilization with better patient compliance. In this study 280 patients were operated for NSV in sub district hospital of J&K State w.e.f. January 2009 to December 2010. Mean age of patients was 35.95 years. Mean time taken for surgery was 23 minutes. Complications were recorded and included bleeding during surgery 4 cases (1.43%), scrotal hematoma 3 cases (1.07%), wound infection 3 cases (1.07%) and minor scrotal pain 4 cases (1.43%). One patient in our study had chronic testicular pain. There was no decrease in sexual desire and satisfaction in any patient followed up and no case of failure of vasectomy was detected. NSV is becoming standard method of vasectomy around the world with less complications and discomfort, smaller scar and fast recovery time with positive post operative psychological state. India, where population control is major concern, this technique should be popularized to increase its acceptance among general population.

Distally Based Superficial Sural Artery Flap For Coverage of Lower Third Leg Defects.

Soft tissue defects in distal third of leg impose a challenge to reconstructive surgeon .The distally based sural neurocutaneous flap based on sural nerve and superficial sural artery has been used for reconstruction of distal third of leg, tendoachilles and heel,medial malleolus and hind foot.We describe our experience and evaluate the reliability of this flap.12 patients with age range from 20-62 years underwent distally based superficial sural artery flap for coverage of defects of distal third of leg, tendoachilles and heel,medial malleolus over a period of two years. All the flaps survived,one flap showed venous congestion but was managed conservatively.The main advantage of the flap is constant and reliable blood supply without sacrifice of major artery.The flap may be raised as islanded or pedicled flap.