brahmanand cancer

pre op tumor pre op  nerve sheath tumor being disseccted parent nerve and tumor excised tumor tumor away from nerve fascicle MRI Scan of Tumor 21 year old boy developed swelling in inner aspect of arm for 6 months . Painless slow growing and tender on touch. He had no distal nerve deficit or any neurovascular problem due to swelling .MRI Scan revealed that it is a nerve sheath tumor . Patient was posted for surgery and tumor was dissected free of nerve fascicle and removed . Post op patient suffered no deficit and recovered . Biopsy came as benign Schwannoma. Dr Adhishwar Sharma MBBS, MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery 8860650846,adhishwar7@gmail.com brahmanandclinic.com

53 year old women ,mother of six ,developed a non healing lesion which was biopsied to be basal cell carcinoma. She under went excision and reconstruction under local anaesthesia . Basal cell carcinoma is a type of skin cancer which affects due to sun exposure. It is diagnosed by biopsy and 3mm excision and reconstruction is curative.Basal cell carcinoma is also known as rodent ulcer. Dr Adhishwar Sharma MBBS, MS General Surgery PGIMER Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery 8860650846, adhishwar@live.com brahmanandclinic.com brachealplexus7,blogspot.com

pre op photo front view pre op lateral view Radiology  excised specimen excised specimen and wound post op contour 60 year old female with a jaw swelling for six months .She was operated and jaw tumour with wide margins was excised and jaw anatomy was reconstituted with   reconstruction plate . For feeding purpose a feeding tube was inserted for three weeks. After three weeks feeding tube was removed. Ameloblastoma is a odontogenic tumor of facial skeleton. It is around 11% of all jaw tumors. Common in 20-50 years age group although can occur at any age .Lower jaw is more common than upper jaw(4:1) .Posterior region of jaw is more common than anterior region. They are slow growing ,painless  in most patients . On radiology they are unilocular or multilocular lesions usually translucent. Ameloblastoma are of three types Unicystic Ameloblastoma This develops in the epithelia wall of dentigerous cyst in posterior aspect of maxilla...

pre op marking for breast mass flaps being raised axillary dissection homeostasis being secured  46 year old female developed  breast lump ,hard nodular, painless ,slow growing for six months. FNAC revealed ca breast, CXR and ultrasound abdomen were non remarkable. Patient was taken up for surgery mastectomy with axillary dissection was done. Dr Adhishwar Sharma Mb,BS MS (gen Surg) PGIMER Chd Mch Plastic Surgery Fellowship microvascular surgery and hand surgery 8860650846, adhishwar7@gmail.com

fibula being  contoured microvascular anastomosis microscope used arterial and venous anastomosis vascular anastomosis of flap vessels fibula skin paddle being insetted final reconstruction with excellent mouth opening Total mandibular reconstruction done by free fibula flap. Earlier patient had anterior tongue tumor involving floor of mouth. Whole mandible along with floor of mouth and bilateral neck dissection was done . Condyle to condyle fibula reconstruction was done with free fibula flap, skin paddle being insetted in anterior to cover bone. Multiple osteotomies done to contour fibula and fixed with miniplate. Vessel anastomosis was done in a neck. Tracheostomy was done to secure airway while allowing airway to heal. Patient was discharged after 10 days ,tracheostomy was removed after three weeks. Feeding tube was removed after one month. Radiotherapy was stared after one month of surgery. Dr Adhishwar Sharma 8860650846, adhishw...

Fungating neck node Neck secondaries Neck Dissection completed Neck dissection completed DP flap completed flap being insetted 66 year old male life long smoker. Patient was diagnosed with carcinoma base of  tongue , and was advised chemotherapy and radiotherapy. Patient  somehow unable to undergo treatment ,developed neck nodes which burst open . Patient was operated for neck dissection where all fungating and other nodes were removed and deltopectoral flap was done to cover the wound. Patient was advised again chemotherapy and radiotherapy . Dr Adhishwar Sharma      8860650846.   adhishwar7@gmail.com