MODIFIED V-Y VOLAR FLAP(ATASOY) TO COVER THE FINGER TIP AMPUTATION

2021 ◽  
pp. 4-6
Author(s):  
V. Mourougayan ◽  
Nithin Venkat

Purpose: Inadequate mobility of Atasoy and Kutler V-Y ap Method: Prospective clinical study Result: Adequate mobility was achieved to cover the stumps of terminal amputation of ngers Conclusion: Modied V-Y volar ap which is reliable and can be easily executed by junior reconstructive surgeons with good postoperative outcome in terms of sensation, length and appearance Summary: Inadequate mobility of Atasoy's V-Y advancement ap to cover the nger tip raw area prompted us to modify the Atasoy's technique. Both the digital neurovascular bundles are identied and included in this modication, thereby, increasing the mobility and reliability with good recovery of function, sensation and appearance. None of aps was lost out of twenty two nger amputations treated by this modied technique. This technique can be easily executed by junior trainee doctors as we incorporate the relatively larger vessels(unlike the digital perforators)which are easily identied by simple loupe magnication.

Author(s):  
Priyanka T K ◽  
V.N. K. Usha ◽  
Sucheta Kumari M

Garbha is a conglomeration of biological mass with different strata including consciousness, needs an innovative clinical tool to evaluate its well being, which proves safe, potent, cost-effective and noninvasive. The idea of taking up this study was to sensitively predict the Prakrutavastha or well being w.r.t Garbha-pushti and ongoing Fetal Pathology, Vaikrutavastha w.s.r Garbhavyapads for a sharp interference to get a possible best neonatal outcome. The objective of this study was to calculate the predictive accuracy of evaluation of Garbhaspandanam on external Shabda and Sparsha Pareeksha. A Prospective Clinical study of Garbhaspandanam (FHS and FM) with external Shabda and Sparsha stimulation on maternal abdomen, from 24th week onwards was conducted in a cohort of 30 Singleton Pregnant women at Dept. of Prasuti Tantra and Stri Roga, S.D.M.C.A. Hospital, Udupi. Among the 9 cases in abnormal category, 2 cases had gone for IUD and one case though placed in abnormal category had responded relatively well to Shabda and Sparsha Pareeksha which may be due to the proper antenatal care and intervention given along with the patient’s Vatakara Nidana Parivarjana. Predictive Accuracy Rate on Shabda and Sparsha Pareeksha showed, FHS 70%, FM 76.7%; FHS 73.3%, FM 66.7% respectively. Shabda and Sparshapareeksha can be utilized as the Garbha - chetana - dyodakalakshana and can be performed as a routine antenatal bedside procedure, which can fairly detect the Prakruta and Vaikrutavastha of Garbha w.r.t Pushti. However larger prospective studies are required.


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