Sacral Sores

  • Sacral Sores

    The appropriate type of flap depends on the shape of the ulcer. Frequently suitable is the bilateral flap of buttock skin based on the in-ferior gluteal fold , and this double flap is especially useful in the sacral pressure sore in the non-paraplegic patient. If the shape and extent of the ulcer make this flap […]

  • Additional Techniques

    Several techniques have been developed which do not fit readily into a neat classification, either because they are not strictly surgical, though they are used in a surgical context, or have been taken from other surgical disciplines because they offered a partial or complete solution to problems whose management by conventional plastic surgical methods was […]

  • Raising The Flap

    The flap, designed astride the intermuscular septum, is raised under tourniquet. Its breadth is limited to 6cm because of the need to close the secondary defect directly; its average length is 10 cm. As a first step, the line joining the lateral epicondyle and the deltoid insertion, representing the line of the intermuscular septum, is […]

  • Ulnar Forearm Flap

    The perforating system of the ulnar forearm flap passes from the ulnar vessels to the investing layer of fascia in the septum between flexor carpi ulnaris and flexor digitorum superficialis. The flap is generally sited towards the ulnar side of the forearm, but in other respects the techniques involved in its transfer are similar to […]

  • Health Benefits of Cilantro

    Cilantro has many health benefits. The leaves of this plant are delicate and lacy in appearance. It is an aromatic herb with wide range of uses. It is an aromatic herb when added to dishes, adds fantastic flavour, and it originates from Mediterranean countries.  Cilantro is also known as coriander leaves, and has a pungent […]

  • Radial Forearm Flap

    This flap, raised on the flexor aspect of the fore-arm, is perfused from the radial vessels. Their perforating branches supply the plexus of the investing layer of deep fascia, from which the blood is distributed to the overlying skin. The flap can be designed as a fasciocutaneous flap to transfer soft tissue alone, or in […]

  • Postoperative Management

    Free flaps are at their most vulnerable during the first 72 hours after operation, and most compli-cations arise during this period. Things can go wrong later, but they do so sufficiently rarely that the first 3 days can be regarded as the dan-ger period when observation should be most acute. Complications arising more than 3 […]

  • Apple Cider Vinegar Weight Loss

    Apple cider vinegar enjoyed its fame in the 1970’s when a highly publicized diet appropriately called “The Cider Vinegar Diet” became an instant diet craze. It promised that a few teaspoons of this vinegar taken before meals would increase a person’s metabolism and burn body fat. Today, it is praised for its many other health […]

  • Clinical Management

    Once the fracture has been reduced and fixed, it becomes possible to make a proper assessment of the soft tissue component of the injury, and carry out an initial excision of irreparably damaged tissue, skin, fascia and muscle. The criteria for assessing viability of skin have already been described, and the excision of damaged fascia […]

  • Role Of Periosteum

    The periosteum plays a crucial role both in the management of the fracture and in the provision of skin cover. In addition to providing an effective barrier to infection, a significant proportion of the blood supply to the superficial cortex of the bone reaches it through the periosteum. This explains why avascular necrosis of the […]