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Home ›Chest, Abdomen & Perineum (Trunk Reconstruction)
Pillar 11 · 18 pages

Chest, Abdomen & Perineum, Trunk Reconstruction

Chest wall defects, open abdomens, infected meshes and perineal wounds, closed with flaps engineered for strength as well as cover.

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Chest, Abdomen & Perineum (Trunk Reconstruction), Elegance Clinic Surat
Who this is for

Patients with sternal wounds after cardiac surgery, abdominal wall defects, infected mesh or perineal defects.

First visit

Wound review with the treating team, imaging of the defect, and a staged reconstruction plan.

Where surgery happens

Theatre equipped for combined procedures with cardiothoracic, general surgical and oncology teams.

Cover

Reconstruction after surgery, infection or cancer is generally payable under mediclaim.

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Each category opens a hub with its own treatment pages and patient information.

The pathway

How treatment is planned, step by step

Nothing here is improvised. The sequence below is how care in this specialty is actually organised, and your own written plan follows it.

01
First Source control

Infection and dead tissue are cleared, and any failing mesh or hardware is addressed with the primary team.

02
Surgery Flap closure

Muscle and fascial flaps rebuild the wall, strength where the trunk needs strength, cover where it needs cover.

03
Weeks Protected activity

Binder support and graded activity protect the repair while it gains strength.

04
Months Review

Hernia surveillance and refinement, coordinated with the primary surgical team.

Why a plastic surgeon

Function first, appearance close behind

"The trunk is structural. A closed wound that cannot bear a cough has not been reconstructed."

Trunk reconstruction restores the wall, not just the skin: a sternum that is stable, an abdomen that holds, a perineum that heals.

These cases are shared with cardiac, general surgical and oncology teams, and the flap plan is built around their operation.

Dr. Ashutosh Shah
Dr. Ashutosh Shah Plastic, Reconstructive & Cosmetic Surgeon (DNB)
Combined team lists
Muscle and fascial flap options
Mesh and component separation
Therapy liaison
22+Years in practice
18Pages in this pillar
JointTeam surgery
Case gallery

Cases from this specialty, consented

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Before / After
Sternal wound reconstructionMuscle flap · 4 months
Before / After
Abdominal wall reconstructionComponent separation · 6 months
Before / After
Perineal defect closureRegional flap · 4 months

Published with documented patient consent, generalised for age and sex, in line with advertising norms applicable to medical practitioners in India.

Costs & schemes

Costs & cover

Published bands are for Surat and include surgeon, anaesthesia, theatre and standard stay. Where a band is not published, a written estimate follows examination. Cover under mediclaim and schemes is confirmed before admission.

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Sternal wound reconstruction
Written estimate
Case based
Abdominal wall reconstruction
Written estimate
After assessment
Perineal reconstruction
Written estimate
After assessment
Questions patients ask

Straight answers, before you decide

These are the questions that come up in consultation most often. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.

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Sometimes, with washouts and cover, but a chronically infected mesh usually needs removal and staged reconstruction of the wall. The decision is made with the surgeon who placed it.

With debridement of infected bone and cartilage, and closure using muscle flaps that bring blood supply to the area. It is coordinated closely with the cardiac team.

That is the goal. Component separation and flap techniques restore a functional wall, with binder support and graded activity while strength returns over weeks to months.

Typically one to two weeks in hospital depending on the defect, then six to twelve weeks of protected activity before heavy lifting, guided at reviews.

Reconstruction after surgery, infection or cancer is generally payable under mediclaim, and approvals are raised with the primary admission where teams operate together.

Heavy lifting and straining are restricted for several weeks so that the repair is not stressed while it gains strength. You are given specific limits for work and exercise, and they are relaxed in stages.

Position, dressing choice and sometimes a temporary change in bowel or urinary routine are used to keep the area dry and protected. Nursing instructions are written down for home, since this is what protects the repair.

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