Journal of Plastic Surgery and Transplantation

Telemedicine has been used for many years to deliver, treatment, education programs and training, especially to healthcare professionals of remote areas and countries with limited resources. But Telemedicine came into limelight during the SARS COVID-19 pandemic, when the lockdown compelled the use of technology than ever. The Tele education is also a part of Telemedicine which helped millions to carry on the learning during the last two years. The main modes used for telemedicine are Photographs, audio, video or combined which can be done using handheld cameras, mobile phones or computers. Tele education provides tools and methods to make teaching better. To make the Tele education better, cost effective and friendly there needs frequent revisions and introduction of newer technology, especially now when we anticipate further surges of the Pandemic wave. In this study, we share our experience of using Fish eye lens, which can take wide angle images, in our daily clinical practice and in Tele Education. Fisheye lens is used for taking images which can be up to 180 degrees. The novelty of the study is that there are very limited data available on the use of wide-angle lens in clinical practice as well as Tele-education.

Aim: To emphasize on the burden of firecracker burst injuries during Diwali festival in a tertiary care center in India. Methods: It’s a retrospective study done during the period of Diwali 2018, which included all the patients who attended our emergency services with firecracker burst injuries. Results: 23 patients presented with varying types of injuries ranging from burns to eye injuries to hand injuries with simple lacerations, fractures to mutilated hands. Conclusion: Much larger epidemiological studies are essential to know the burden of injuries and the disability the patients develop and for strict enforcement to ban usage of fire crackers.

Introduction: Burn injury is a global problem that equally concerns under-developed, developing and developed countries. Goal in the management of burn wounds is to obtain physiological closure in the shortest period of time. An ideal dressing material has to maintain a moist environment, act as a bacterial barrier, and as a medium for free exchange of gases, while providing a barrier against toxic contaminants. Treatment of partial thickness burn wounds is directed towards promoting healing and a wide variety of dressings are currently available there effects on healing, but ease of application and removal, dressing change requirements, cost and patient comfort should also be considered. Materials and Methods: 34 Patients with partial thickness burns ≤ 20% BSA were randomly assigned to Collagen dressing (Group A ) and to conventional dressing Paraffin gauge (P.G) plus silver sulphadizine (SSD) (Group B) from April 2017 to 2018 were analyzed. 22 patient received Collagen dressing and 12 patients received to conventional dressing Paraffin gauge (P.G) plus silver sulphadizine (SSD). Patients were followed up for clinical outcome on alternate day until burns wound healed. Result: A total 34 Patients with partial thickness burns ≤ 20% BSA were analyzed. Patient were divided in to two group, Group A in which Collagen dressings were used (64.70% cases) and Group B in which Paraffin gauge (P.G) plus silver sulphadizine (SSD) dressing were used (35.29% cases). In our study of 34 patient, 20 (58.8%) patients were male and 14 (41.7%)Were female. We have included ≤ 20% partial thickness burns of which 22 (64.70%) cases were of scald burns, 10 (29.41%) cases of thermal burn, 2 (5.88%) cases of electric flash burn. 100% healing in 5-7days of 13 cases (59%) in Group A, in 8–12 days of 8 cases (66.66%) in Group B. 21 cases (95.5%) of Group A required analgesia only for ≤ 2 days, 11 cases (90.90%) of group required analgesia for ≥ 6 days. Hospital stay in 20 cases (90.90%) of Group A were ≤ 2 days, in Group B no patient required hospitalisation. In Group A 20 cases (90.90%) Nil or only one single dressing change were done, in only 2 cases (9.09%) two or more dressing change needed. In Group B 6 cases (50.00%) 4–5 times dressing done, 5 cases (41.66%) 2–3 times change of dressing done, in 1 case (8.33%) > 6 times dressing change done. Conclusion: Collagen dressing has proven to be highly advantageous for burn patients especially for small areas of partial thickness of burns (<20% BSA), and in paediatric age group of patient. It confer better pain relief, less analgesia is required, most of time no dressing change needed, rate of wound healing is better. However conventional dressings tend to adhere to the wound surface and their need for frequent changes traumatises newly epithelialised surfaces and delays healing.

Earlobe piercing is a daily Out patient procedure done by a plastic surgeon. Various methods of ear piercing have been described. In this article, we describe a novel method of ear piercing using the Bone marrow aspiration needle which can be adapted and performed easily, cost effective, reusable by autoclaving. A 60 year old female patient underwent an ear piercing using a bone marrow aspiration needle. The ear piercing using this needle will help in reducing the cost to the patient in accessing the expert care at a lower cost. The advantages we noticed while using the bone marrow aspiration needle over conventional methods were more easily adapted and replicated. The disadvantage is the considerable trauma with chance of bleeding.

It is well known that low level laser therapy (LLLT) has a role in the wound bed preparation of ulcers, wound healing process, joint stiffness and nerve regeneration, but the role of LLLT in the scar management is doubtful and has scanty data. In this case report we are sharing our experience in treating a scar with LLLT which showed enhanced response.

Videoconferencing and live surgical workshops are an integral part of plastic surgical training and practice. It may be difficult to follow through the whole procedure staying at one place as they may last for a long duration. We would like to present an innovative application of selfie stick with a tripod for video conferencing in telemedicine.