brahmanand clinic 2

 

After skin grafting After VAC dressing At three weeks   First day surgery Injury after debridement After first debridement Original wound with gangrenous first toe Orthopedic fixation Removal of VAC Sponge Removal of VAC dressing At post op day 5 at discharge At discharge sole view 14 year old boy who suffered foot injury by roadside accident , He had medial aspect of foot shaved off. Patient underwent serial debridement and VAC dressing was used to control infection.  After 15 days of VAC he was planned for free LD flap reconstruction. At surgery posterior tibia vessel was thrombosed hence anterior tibial vessel was used for flap anastomosis. After 3 weeks skin grafting was done. Dr Adhishwar Sharma  MBBS,MS General Surgery, Mch Plastic Surgery 8860650846 ,adhishwar7@gmail.com