Plastic Surgery

Reconstructive procedures, flap monitoring, burns, and wound closure

Raju Kumar, 52M — PS-2026-041

Post-traumatic degloving injury — right lower leg

Latissimus dorsi free flap reconstruction · 20 Jun 2026 · Day 4

Well
Flap Type: Free flap
Monitoring: Hourly Doppler — biphasic signal present. Flap colour: pink. Capillary refill: 2s.
Drain: Blake drain 40 mL/24h — reducing
Continue hourly flap monitoring for 72h post-op. Aspirin 100 mg OD (antithrombotic). Dextran 40 drip day 3-5 complete tomorrow. Physiotherapy — passive ROM exercises.

Deepa Sharma, 28F — PS-2026-040

Post-burn contracture — right axilla (4th degree)

Z-plasty release + split-thickness skin graft · 18 Jun 2026 · Day 6

Good progress
Flap Type: Fasciocutaneous
Monitoring: Donor site (thigh) healing well. Graft take > 90%.
Drain: Removed day 4
Pressure garment fitting at week 3. Physiotherapy for shoulder ROM. OT review. Sun protection for graft site 12 months.