Webinar On Flap Thinning May 5th , 2020
Topic Thinning of flaps- Stretching the limits. Faculty Dr JP Hong.
Faculty Dr JP Hong
Chat transcript
08:48:40 From Kunal : sir is using monopolar cautery near perf also 08:48:48 From Kunal : how to make that safe 08:49:08 From Venkat : Good morning. Could you share your experience on dividing the pedicle of a free flap during secondary thinning procedure? 08:49:13 From Gaurav B. Shetty : coldzone bipolar / monopolar hotzone bipolar/ monopolar??? 08:49:49 From Gaurav B. Shetty : which is more harmful monopolar or bipolar near the perforator? 08:50:56 From Kalyan Das : when we are harvesting a large ALT flap can we do the same? can we do further thinning at sub dermal level anatomically? 08:51:28 From Dr.vikram Rathore : do you infiltrate margins of Alt flap ? 08:51:55 From Dr. Kaushik Nandy : Do you always find the superficial fascia..I mean 100%? If not, what is your approach. 08:51:56 From Venkat : What is your policy on tackling the nerve branches during proximal dissection of the pedicle? 08:52:00 From Note 4 : Thanks for wonderful presentation.... What is ur take on reliability of hand held doppler in perforator identification? 08:53:16 From Abhay Agrawal : The superficial fascia - do you include it in the flap or go supra - superficial fascia ? 08:53:24 From Venkat : Thanks Prof Hong for the answer 08:53:35 From Gaurav B. Shetty : Have you attempted flap thinning of an ALT with a liposuction cannula? 08:53:47 From Rajan Tondon’s iPhone : do radically thinned ALT flaps have limits in their size ? 08:54:30 From Cinjini Das : With what width of the flap is primary closure of the donor defect possible, as with thin ALT the deep fat layer at the donor area should make primary closure difficult. 08:54:57 From Gaurav B. Shetty : Have you attempted flap thinning of an ALT with a liposuction cannula? as a secondary procedure for cosmesis of the flap? 08:55:42 From RG : Good Morning - oes the deep fat n donor site 08:55:49 From Rajiv Bharti : good morning sir..... something about hot and cold zones of alt flap ..... 08:55:57 From RG : does the deep d 08:56:40 From Dr. Kaushik Nandy : With this technique do you have as much success in obese patients? 08:56:50 From RG : Does the deep jat have problems of SSG take if applied while elevating large flaps , thank you 08:57:05 From RG : jat=fat 08:57:31 From Kalyan Das : thanks prof Hong for your presentation and answering .what are your strategies in doing longer duration surgeries (replantation, free flaps) in this time of covid? 08:58:06 From Sanjay Maurya : is primarily donor site closure difficult in a thin flap rather than a thick flap 09:00:19 From Venkat : Do you use pre-fabrication/ tissue expansion in a staged manner to create a thin flap in obese patients? 09:03:48 From Gaurav B. Shetty : thank you So much Sir, 09:04:00 From Gaurav B. Shetty : thank you ma'am for putting out all the questions 09:07:03 From Jashvanth C T : Thank you very much sir..! 09:08:14 From Narayanamurthy S : thank you Prof JP and the organisers🙏 09:08:22 From Sunil N.P : thank you very much sir and madam for excellent webinar 09:08:53 From Venkat : Thanks Dr Anjana ma'am and Prof JP for the session. It was very focused and interactive. Looking forward for more such interactions. Thanks again. 09:09:03 From Dr. Kaushik Nandy : There is only a small defect in the deep fascia. Any compartment syndrome risks? 09:10:00 From RG : thank you very much sir , compliments and gratitude Madam for this excellent zoom session, Regards 09:11:28 From Akshay Deshpande : Thank you 09:12:04 From Santanu Suba : thakn you very much Dr. JP 09:12:17 From AB : thanks a lot Dr. Hong 09:12:30 From Gaurav B. Shetty : thank you Ma'am 09:12:36 From Gaurav B. Shetty : thank you Sir