Ends of ellipse (Apical angles): Dimension of ellipse: Axis of ellipse: Margin of excision: Lesion type Surgical margin Uncertain Consider shave or punch biopsy to…
Explore more Geometry and Margins of Elliptical Excision
Plastic surgery
Hypertrophic Scar vs Keloid
Hypertrophic scars and keloids are both raised, firm scars formed from excess fibrinogen production and collagen during healing. Mnemonic: BAD SCARS Mnemonic Basis Hypertrophic scar…
Explore more Hypertrophic Scar vs Keloid
Bilateral V-Y (Kutler) flap for finger stump closure
Indications Classically, this flap is indicated in patients with transverse or volar oblique amputations. In actuality, the patient in whom this flap is useful generally…
Explore more Bilateral V-Y (Kutler) flap for finger stump closure
Aberdeen Knot
To end continuous suture, either a square knot, surgeon’s knot or an Aberdeen knot is required. The Aberdeen knot has been shown to be superior…
Explore more Aberdeen Knot
Running subcuticular suturing
1. Start with a buried knot at distal apex of the wound. 2. Take a bite deep to the epidermis that should curve parallel to…
Explore more Running subcuticular suturing
Palmar Aponeurosis or Fascia
5 components a. Central aponeurosis It is triangular in shape with apex originating at the level of flexor retinaculum as a continuation of palmaris longus…
Explore more Palmar Aponeurosis or Fascia
Volar V-Y advancement flap for fingertip amputations
Indications Contraindications Advantages Disadvantage Tension (maximum tension occurs in mid portion of the defect) especially with large defects Blood supply of flap Oblique terminal branches…
Explore more Volar V-Y advancement flap for fingertip amputations