{"id":6160,"date":"2023-02-10T03:32:11","date_gmt":"2023-02-10T03:32:11","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?page_id=6160"},"modified":"2025-04-09T08:47:24","modified_gmt":"2025-04-09T08:47:24","slug":"ima-journal-february-2023","status":"publish","type":"page","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/","title":{"rendered":"IMA Journal &#8211; February 2023"},"content":{"rendered":"<p class=\"caps\">[vc_row][vc_column][vc_empty_space height=&#8221;35px&#8221;][vc_column_text]<\/p>\n<h1 class=\"ttc\" style=\"text-align: center; color: #c01c7b;\"><strong>IMA Journal &#8211; February 2023<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Message from Team IMA Chennai Kauvery Alwarpet Branch&#8221; font_container=&#8221;tag:h2|text_align:center|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_row_inner css=&#8221;.vc_custom_1618206149394{border-radius: 5px !important;}&#8221;][vc_column_inner el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2195 alignleft\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/02\/dr-sivaram-150x150.jpeg\" alt=\"\" width=\"100\" height=\"100\" \/><\/p>\n<p>Dear colleagues,<\/p>\n<p>Greetings from IMA Kauvery Alwarpet branch Chennai. This month kick started with our annual Kauvery family get together. We thank all our consultants who participated in the memorable fun filled event which brought nostalgic memories of our college days and rejuvenated us.<\/p>\n<p>With the same enthusiasm, we are delighted to share an platter of interesting articles, contributed by the Department of Plastic surgery, a premier department at Kauvery hospital with very highly skilled plastic surgeons available round the clock.<\/p>\n<p>The articles will definitely be a feast to our knowledge.<\/p>\n<p>Our thanks to Prof. V. B. Narayana Murthy, Sushrutha Professorship Plastic Surgery\/Senior Consultant Plastic Surgery and his team.<\/p>\n<p>Long live IMA<\/p>\n<p><em>Yours in IMA service,<\/em><br \/>\n<strong>Dr S Sivaram Kannan<\/strong><br \/>\nPresident[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2157\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/Dr-Bhuvaneshwari1.jpg\" alt=\"\" width=\"100\" height=\"101\" \/><\/p>\n<p style=\"font-weight: 400;\">Plastic surgery is about refinement, restoration, reconstruction and quality.<\/p>\n<p style=\"font-weight: 400;\">In life, not always we avoid plastics!!!<\/p>\n<p style=\"font-weight: 400;\">This month, we bring you articles illustrating the challenges and variety from the department of plastic surgery.<\/p>\n<p style=\"font-weight: 400;\">Long live IMA.<\/p>\n<p>Yours in IMA service,<br \/>\n<strong>Dr. Bhuvaneshwari Rajendran<\/strong><br \/>\nSecretary.[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2158\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/DrRBS1-1-150x150.jpg\" alt=\"Dr. R. Balasubramaniyam\" width=\"100\" height=\"100\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/DrRBS1-1-150x150.jpg 150w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/DrRBS1-1-300x300.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/04\/DrRBS1-1.jpg 450w\" sizes=\"auto, (max-width: 100px) 100vw, 100px\" \/><\/p>\n<p style=\"font-weight: 400;\">Dear friends<\/p>\n<p style=\"font-weight: 400;\">Happy to meet you all through this month\u2019s IMA journal.<\/p>\n<p style=\"font-weight: 400;\">The contributions have come from the Department of Plastic and Reconstructive Surgery.<\/p>\n<p style=\"font-weight: 400;\">My sincere thanks to them.<\/p>\n<p style=\"font-weight: 400;\">Thanks to the Editorial and Branding team for getting the journal on time.<\/p>\n<p><em>With regards<\/em><br \/>\n<strong>Dr. R. Balasubramaniyam<\/strong><br \/>\nEditor[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner][vc_empty_space][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;6188&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Plastic Surgeon and Family doctors&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]The role of plastic surgeons to family doctors is a critical one as they work together to provide comprehensive care to their patients.<\/p>\n<p class=\"caps\">There are several first to this article.<\/p>\n<p>1. Endeavours of Kauvery hospital, a new age hospital, to involve and provide an opportunity for plastic surgical team to share their views on the relationship they have with the family doctors. A very vital aspect and opportunity to further excel in the delivery of quality plastic surgical services in a collaborative manner.<br \/>\n2. Plastic surgical team share the knowledge in the form of case studies and also will make the varied and complex services of plastic surgeons easy to understand for every doctor.<br \/>\n3. This is also the first attempt to collaborate with Chat GPT. This has given me a new paradigm in preparing a document.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-febraury-2023\/plastic-surgeon-and-family-doctors\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;6188&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Why Plastic Surgeon, Why Plastic Surgery &#8211; I say Pour Quoi Pas. KKK syndrome&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">In the continuing series on what I wonder to the question Why Plastic surgeon, Why Plastic Surgery \u2013 for a particular condition, I say Pour Quoi\u00a0 Pas.?, WHY NOT ?. I have the pleasure of sharing yet another interesting set of conditions which I have treated. We are in an era where EBM (evidence based medicine) rules supreme and other EBMs, namely Eminence Based Medicine or Experience Based Medicine is generally given a cold shoulder and has a bad name. However, most do believe that EBM in whatever form can be useful to discuss and make some sense of it. Today, I am going to discuss the \u201cKKK syndrome\u201d which every medical student in Tamil Nadu would have heard in his lifetime. To me it is almost synonymous with the OPD\u2019s we do in medicine in medical collages as house surgeons. Much talked about and ridiculed but never taken serioulsly.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-febraury-2023\/why-plastic-surgeon-why-plastic-surgery-i-say-pour-quoi-pas-kkk-syndrome\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;6190&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Neglected Pulp Space Infections&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<\/p>\n<h2><strong>Introduction<\/strong><\/h2>\n<p style=\"text-align: justify;\">A Felon is a subcutaneous abscess of the distal pulp of a finger or thumb. Superficial infections of the most distal part of the pulp skin are known as apical infections. Apical infections are different from felon in that the palmar pad is not involved. The term Felon should be reserved for those infections involving multiple septal compartments and causing compartment syndrome of the distal phalangeal pulp. The most common organism grown from felons is S. aureus. Gram negative infections have also been reported. Though this condition is uncommon, it is typically seen in immunocompromised.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-febraury-2023\/neglected-pulp-space-infections\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;6190&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Post Mastectomy Breast Reconstruction&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<\/p>\n<h2><strong>Introduction<\/strong><\/h2>\n<p style=\"text-align: justify;\">Post mastectomy breast reconstruction is an integral part of breast cancer management. The breast is an important organ for a woman\u2019s body image. Despite the benefits of psychosocial well-being, positive body image, and improved quality of life, very few women in India undergo breast reconstruction after mastectomy. Only one percent of women undergoing mastectomies receive breast reconstruction although breast cancer is the most common cancer accounting for 14% of all new cases of malignancies.<\/p>\n<h2><strong>Case History and Management<\/strong><\/h2>\n<p>A 50-year-old postmenopausal woman presented with a history of lump in upper outer quadrant of left breast<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-febraury-2023\/post-mastectomy-breast-reconstruction\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;6196&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Fat Grafting \u2013 A Novel Technique for Contour Correction&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<\/p>\n<h2><strong>Introduction:<\/strong><\/h2>\n<p style=\"text-align: justify;\">Fat grafting is a procedure, where excess fat from one part of the body is removed by aspiration and injected into another area for correction of contour deformity and improved aesthesis. This was first introduced by Dr Coleman in 1986, but the technique got universal acceptable and application much later. The technique has been experimented and perfected in the last decade by many surgeons and evolved into a unique method for augmenting the volume in contour deficient areas of the body. It is used to correct deformity in face, augmentation of the breast, correction of post injury deformities in limbs and to improve appearance of the old scars.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-febraury-2023\/fat-grafting-a-novel-technique-for-contour-correction\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;6199&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Not An Uncommon Complication Of Diabetes Mellitus&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">Necrotizing fasciitis (NF) is an aggressive skin and soft tissue infection (SSTI) that cause necrosis of the muscle fascia and subcutaneous tissues. This infection typically travels along the fascial plane, which has a poor blood supply, leaving the overlying tissues initially unaffected, potentially delaying diagnosis and surgical intervention. Consequently early recognition of symptoms is crucial and patients have to be rushed into surgery immediately where a thorough debridement needs to be performed. Diabetic patients exhibit impaired cutaneous wound healing with increased susceptibility to infection and it is therefore reasonable to speculate that this chronic, debilitating disease contributes to a more serious nature of NF.<br \/>\n<a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-febraury-2023\/not-an-uncommon-complication-of-diabetes-mellitus\/\">Read Full Article<\/a><\/p>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_empty_space height=&#8221;35px&#8221;][vc_column_text] IMA Journal &#8211; February 2023 [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Message from Team IMA Chennai Kauvery Alwarpet Branch&#8221; font_container=&#8221;tag:h2|text_align:center|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_row_inner css=&#8221;.vc_custom_1618206149394{border-radius: 5px !important;}&#8221;][vc_column_inner el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text] Dear colleagues, Greetings from IMA Kauvery Alwarpet<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6160","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>IMA Journal - February 2023<\/title>\n<meta name=\"description\" content=\"IMA is bringing out another power packed issue with interesting and thought provoking articles.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"IMA Journal - February 2023\" \/>\n<meta property=\"og:description\" content=\"IMA is bringing out another power packed issue with interesting and thought provoking articles.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/\" \/>\n<meta property=\"og:site_name\" content=\"Kauvery Hospital | Patient Newsletters | A Monthly Newsletter from your Partners in Good Health\" \/>\n<meta property=\"article:modified_time\" content=\"2025-04-09T08:47:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2021\/07\/kh-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"250\" \/>\n\t<meta property=\"og:image:height\" content=\"210\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/\",\"url\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/\",\"name\":\"IMA Journal - February 2023\",\"isPartOf\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/02\/dr-sivaram-150x150.jpeg\",\"datePublished\":\"2023-02-10T03:32:11+00:00\",\"dateModified\":\"2025-04-09T08:47:24+00:00\",\"description\":\"IMA is bringing out another power packed issue with interesting and thought provoking articles.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/#primaryimage\",\"url\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/02\/dr-sivaram.jpeg\",\"contentUrl\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/02\/dr-sivaram.jpeg\",\"width\":640,\"height\":640},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-february-2023\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.kauveryhospital.com\/ima-journal\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"IMA Journal &#8211; 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