Reconstructive surgery is a sub specialty of Plastic surgery and is often regarded as an art of replacing what is ‘lost’. It deals with restoring the form, contour and most importantly function of the part of body that is removed as a part of oncosurgical resection. Most Patients requiring reconstructive services are of Head and Neck cancer and Breast cancer. Unlike most other cancers impact of the surgical management of the head and neck cancers is immediately noticeable in social settings. Moreover the patient suffers from facial disfigurement, altered speech, salivation, inability to swallow and deviation of airway.
All these mutilating surgeries leave a psychological impact on these patients. Their quality of life is impaired. They are depressed. Removal of breast for cancer is also known to be associated with major depression amongst women. But now it is proven that with the help of plastic and reconstructive surgery, especially micro-vascular reconstructive surgery quality of life of the patients can be improved. We can provide good functional and cosmetic result in most of the patient with the disease. They can lead normal life with little or no limitations.
What is Reconstructive Surgery?
Reconstructive surgery often uses tissue from one area of body to repair another area. Reconstructive surgeons repair and restore physical appearance that could be external or internal. Surgeons may insert implants, graft an area, transplant tissues for ushering a new lease of life.
Reconstructive Surgery after Resection of Cancer Includes:
Reconstruction of head & neck defects
Reconstruction of breast –augmentation or reduction.
Reconstruction of soft tissues ,bones of different parts of body.
Reconstruction of bladder, bowel
Some of the cosmetic surgeries
Screening and Diagnosis of Reconstructive Surgery
Type of reconstruction depends on the defect created by removal of cancer. Choice of reconstruction depends on area to be repaired, condition of donor area and comorbidities. Always assess:
Treatment of Reconstructive Surgery
How is RGCI Different
With the team efforts of Plastic surgeons, Oncosurgeons, Anaesthetists & dedicated Nursing staff, RGCI&RC is emerging as biggest centre for Cancer Reconstruction especially micro-vascular reconstruction in northern part of India.We have performed more than 4000 cases of cancer reconstruction with good functional and cosmetic results in last 6 years.
We are preserving a lot of limbs in limb salvage surgeries for bone tumors. Reconstruction of soft tissue defect is also required after removal of large muscle or skin tumors by orthopaedic surgeon. We are also working to reduce the problem of lymphedema (swelling of arms and legs) both surgical and non surgical, after breast cancer and groin surgery.
Risk Factors of Reconstructive Surgery
Any surgery especially reconstructive surgery will carry high risk of complications or flap failure in presence of following factors
Prevention & Cure of Reconstructive Surgeries
Aim is to inform the patients about preventing bad reconstructive surgery. Reconstruction is unavoidable but bad reconstruction can be averted if proper precautions are taken.
DO’s after Surgery
DON'Ts after Surgery
If you follow simple do’s and don’t’s, you can avoid turning a simple surgical procedure into major medical crisis.
Questions patient would like to ask to doctor
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