Dr Kanwarneet and Dr Varun Singla |
A rare
and extremely fine Microsurgery after
cancer resection has been performed successfully on a 45 year old patient with
squamous cell carcinoma involving the upper and lower lips (in simple language
we can say cancer of mouth) at Alchemist Hospital. Surgery has been performed
as a team by Dr. Kanwarneet, Oncosurgeon-
resection and Dr. Varun Singla Plastic Surgeon-reconstruction with Alchemist
Hospital.
Patient
Ramesh (name changed), was admitted in Alchemist Hospital with history of
growth on the lip for the past one and half years which had been increasing significantly
since the last 6 months.
Giving
details Dr. Kanwarneet and Dr. Varun Singla told that on examination, patient
was suspected to have a squamous cell carcinoma involving the upper and lower
lips, the right commissure, and the cheek mucosa along with the mandible.
They
further told that subsequently after confirming the carcinoma diagnosis and
doing basic investigations like CT and ultrasound, patient was taken up for
surgery with a plan for resection of the involved areas that is the skin of the
cheek, lips and the mucosa along with involved mandible. “This was an extensive
resection which would normally require two or more flaps with significant morbidity
at the donor site. So to reduce the morbidity, a chimeric free flap was planned
(ALT - Thigh Skin and underlying muscle on same artery) and was used to cover
all the defects created.”
The surgery took 10 hours because of the
extensive and difficult cancer resection and the subsequent extremely fine microsurgery
needed to reconstruct the defect created. The surgery went without any
problems and the flap survived without any complications, doctors informed.
Dr.
Kanwarneet (Oncosurgeon- resection ) and Dr. Varun Singla (Plastic Surgeon- reconstruction)
worked as a team to perform this surgery which is rare even in the tricity
area.
Patient
is now stable and recovering with minimal problems
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