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Located in the heart of Nagpur city, KRIMS multispeciality hospital is a group of proficient doctors who provide round the clock service to their outstation as well as Nagpur patients. Being a Multispecialty hospital facilities like Pathology, Radiology, Pharmacy, critical care service & Ambulance service is provided with a very good team of specialist consultants. Recently a World’s largest PMMC Flap was harvested in Facial Recognition surgery was took place in KRIMS Multispeciality Hospital. Please find the attachment for more details.
“World’s largest PMMC Flap harvested by the Team of Doctors at KRIMS
Hospitals, Nagpur for the Facial Reconstruction Surgery”
A 23 year old male patient Mr. Sachin Patil (name changed), resident of Kuhi – Nagpur was
admitted to KRIMS Superspeciality Hospital Ramdaspeth Nagpur, on 23rd November 2017 with a
large wound on right side of the face. The swelling was busted and exposed to the external
environment with large number of Maggots (Insects) in the wound. The wound was so
extensive that the Maggots ate the right cheek completely. This primarily seemed to be the
case of a very Advanced Carcinoma of Buccal Mucosa involving Maxilla and Mandible exposing
the teeth and the jaw bone. Looking towards the severity of the condition, Maggots were
removed immediately with proper surgical debridement and medical treatment with proper
isolation of the patient in ICU. After all the investigations were done and the biopsy reports
were available, the condition was diagnosed as Advanced Squamous Cell Carcinoma (Cancer).
The treatment plan was decided and the surgery was planned. Complete wide excision of the
lesion was done along with partial Maxillectomy, Hemi-mandibulectomy and Radical neck
dissection. A 13×9 cm2 PMMC (Pectoralis Major Myocutanius) Flap from right side of the chest
was harvested for the reconstruction of the defect. This was the largest PMMC Harvested Flap
recorded till now in the World, as per the scientific article available, since Microvascular is a
good choice but financial condition was not supporting any free flap as free Fibula and
Lattisimusdorsi with Microvascular Anastomosis.
Sachin was then shifted to ICU for 4 days. After rapid and progressive recovery, Sachin was
shifted to the ward for 15 days. Now Sachin has recovered completely with best flap outcome
which is the largest recorded PMMC Flap used in largest composite surgical defect
reconstruction for Head Neck region of economically compromised patient.
This supramajor surgery was carried out by Dr. Chandrashekhar Bande, Consultant Oral Cancer
& Facial Plastic Reconstructive Surgeon & assisted by Dr. Monica Mahajan, Consultant Oral &
Maxillofacial Surgeon, Dr. Krishakurawar, Dr. Ashish Maheshkar, Anaesthetist Dr. Rasika Timane
& Chest physician Dr. Sameer Arbat (It was a difficult intubation so fiber-optic intubation was
done by Dr. Sameer Arbat) and Senior Physician & Intensivist Dr. Jayesh Timane & Dr. Shyam
Meshram supported by the best nursing care to patient with the experienced paramedical