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| Name | Pilonidal sinus : Limberg Flap - Atul Mishra |
| Video Uploader | Video From Dr. Atul Mishra |
| Upload Date | This Video Uploaded At 01-01-2019 10:36:20 |
| Video Discription | πππππππππ πππππ : πππππππ π
πππ Anesthesia : Spinal anesthesia Position : ****e with buttocks strapped apart Operative steps; A rhombic area of skin is marked over pilonidal sinus involving all midline pits and lateral extensions if any. The long axis of the rhomboid in midline is marked as A-C, c being adjacent to perianal skin, A placed so that all diseased tissue can be included in the excision. The line B-D transects the mid point of A-C at right angles and is 60% of itβs length. D-E is a direct continuation of the line B-D and is of equal length to the incision B-A, to which it will be sutured after rotation. E-F is parallel to B-C and of equal length. After rotation it will be sutured to A-D. The skin & subcutaneous flap to be removed is excised down to deep fascia, and a rhomboid area of specimen including Pilonidal sinus and itβs all extension are removed. The flap is raised so that it includes skin , subcut fat, and the fascia overlying gluteus maximus, rotated to cover midline rhomboid defect. The defect thus created can be closed in linear fashion. A vacuum drain is placed and wound closed. About the Author Dr. Atul Mishra is currently working as Professor of General Surgery and Unit Head at DMC& H, Ludhiana, Punjab, India. Dr. Mishra is skilled in all types of complicated and advanced open abdominal and laparoscopic surgeries. He is expert in laparoscopic hernia surgery, Gall bladder stone surgery, Appendectomy, Splenectomy, Rectal prolapse repair, surgery of pancreas, liver, stomach, colon and rectum. He has immense experience in operating complex fistula in ano, pilonidal sinus (limberg flap), parotid thyroid and parathyroid surgery. For more info visit us at http://dratulmishraclinic.com/The-enh.. |
| Category | Education |
| Tags | Pilonidal sinus | Limberg flap | Pilonidal cyst | Atul mishra | Pilonidal sinus surgery | Pilonidal sinus surgeon | Hair follicle |
