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Treatment Of Erectile Dysfunction
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Burning your skin is a very traumatic experience and can leave behind scars that remind one of the traumatic incident. Scarring caused by burns may fade a little with time but are usually permanent. Apart from affecting your appearance severe burns can also affect the functioning of the body. Burns can make a person withdraw socially by making him or her afraid of how people will accept them with their scars as well as make them depressed about their appearance.
- Acute repair surgery happens immediately after the burn and deals with large burns and deep burns that affect critical areas. The focus here is to aim for saving of life of burn patient with earliest wound healing with various surgical means.
- Reconstructive burn surgery addresses the deformities & scars after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure improvement of functioning.
There are many types of reconstructive surgeries for burns and the type of surgery best suited to a patient is based on the location of the scar, the extent of scarring and the patient’s personal goals.
- Skin grafts: This involves the removal of healthy skin from one part of the body and transplanting it to the burn site. This split thickness skin graft include only a few outer layers of skin & full thickness graft involve the entire dermis. This is used in cases of deep burns where full thickness of dermis is affected. Also skin grafts are used for defects following release of burn contracture .
- Flaps: These are thick skin tissues with its own blood supply, used to cover exposed vital structures like vessels , tendons, nerves, bones, etc especially in deep electrical burns of extremities.
- Free flap procedure: In this Microvascular Surgery , muscle, bone or skin is transferred from one part of the body to another to reconstruct huge defects after contracture release or for cosmetic improvement of ugly burn scars.
- Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn scars & deformities. As the balloon is filled with saline, the skin stretches and grows. Once the skin has stretched enough, the expander is removed and the skin can then be used to replace the burn scars & deformities.
This procedure has many advantages as the skin colour and texture are a near perfect match thus reducing scarring to a large extent. However, it is a very slow procedure and can take a few months.
This is Dr. Tulip. I am a Bariatric and Laparoscopic Surgeon practicing at Dr. Tulip Hospital, 4th block, Koramangala.
We all know that once a diabetic , always a diabetic. But now we have something called as metabolic surgery by which one can be totally free from Diabetes. I mean you can stop your diabetic medications and still your sugar can be in normal limits. You don't need to take any oral diabetic medications and you need not take any insulin. But is this surgery helpful for all types of diabetics? No, we need to be a little careful and a little choosy about this. This surgery is good for, it helps Type 2 diabetics.
Type 2 Diabetics are those people who develop diabetes after the age of 30. They don't have a family history like their parents, grandparents would have had diabetes but those people who develop diabetes in childhood or in their teens less than 30 years are most likely to be Type 1 diabetics wherein the body is not secreting any insulin, the pancreas is not having any insulin to secrete, wherein the surgery the metabolic surgery will not help. Now, is every type 2 diabetic eligible for this surgery? Yes , but we also need to see the amount of pancreatic reserve that is present in that patient. For example, if the patient is suffering from diabetes for 4 to 5 years, the reserve will be much better.
But if they're suffering from diabetes from 15 to 25 years, then the reserve will be a little less and hence the results may not be very good. But all said and done, the results will definitely better. Now, how do we check the pancreatic reserve? There is a blood test which is called as the C-peptide. When we assess this value, if it is more than one, that means the pancreas has a good reserve and the results would be very good. Now how early do we expect the person to be free from diabetes after the surgery?
Even as early as 24 hours after the surgery, the person can be free from diabetes. Now, in some cases where the pancreatic Reserve is not very good then the patient might have to take one tablet, one oral hypoglycemic, maybe for a month or two and then the person can get totally out of diabetes.