Some injuries cannot be closed by stitching skin together. Tissue has to be brought in with its own artery and vein, or a severed part reattached. Both depend on joining vessels narrower than a matchstick.
✦Emergency line for burns, trauma and replantation: +91 83205 00350
Emergency replantation and planned reconstruction use the same technique for very different situations.
How vessels and nerves are joined under magnification.
Read more →Reattaching a part severed in an accident at work or home.
Read more →Living tissue moved from one part of the body to another.
Read more →Fingers and thumbs cut by machines, blades and doors.
Read more →Flap cover where bone, plate or tendon lies exposed.
Read more →How to store the part and what to do on the way in.
Read more →An amputation or a severe crush is a time critical injury. Call the emergency line while you are travelling so the theatre team and anaesthetist can be ready when you arrive, and bring the severed part with you even if it looks badly damaged.
Planned reconstruction is different. Send photographs of the wound, along with the operation notes and any angiography or X ray already done, so that the flap can be chosen before you make the trip.
203, Trinity Business Park, OPP G3 Store, Madhuvan Circle, LP Savani Road, Adajan, Surat, Gujarat 395009.
Timings Mon to Sat · 10:00 to 19:00 · OPD by appointment
320, Times Square, Canal Road, Bharthana, Nr. G.D.Goenka International School, Vesu, Surat, Gujarat 395007.
Timings Mon to Sat · 10:00 to 18:00 · Emergency 24×7
Dr. Ashutosh Shah is a Plastic, Reconstructive and Cosmetic Surgeon (DNB) practising in Surat, Gujarat. The work covered by this site is reconstructive, which means restoring form and function after birth differences, burns, injury, cancer surgery, infection and chronic wounds.
Consultations are unhurried. You are told what the problem is, which options genuinely apply, what each involves, and what it will realistically achieve, including where an operation is not the right answer.
These operations are long and need close monitoring afterwards, which is reflected in the bands below. An itemised written estimate follows assessment or, in an emergency, as care proceeds.
Referrals arrive at short notice from hospitals across the city and the surrounding industrial districts, often within hours of the injury.
Each page below covers one kind of work at the Surat clinic, with the questions patients ask about it, the cost band and how to reach the team.
These are the questions families ask in the first hours after an amputation, and before a planned flap. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.
Ask your question →Time matters more than distance. Bring the part in as soon as you can, kept cool in the way the first hour guide describes. Fingers tolerate a longer delay than a hand or an arm, but every hour counts, so travel without waiting.
Wrap it in clean moist gauze or cloth, seal it inside a plastic bag, and place that bag on ice. The part should stay cool but never sit directly on ice or in water, because that damages the tissue further.
Not every one. A clean cut has a better chance than a crush or an avulsion, and the level of injury, contamination and time elapsed all count. Where replantation is not sensible, the finger is shaped for comfortable use instead.
A free flap is living tissue lifted with its artery and vein from one part of the body, moved to the defect, and the vessels joined under a microscope. It is used when bone, tendon or an implant lies exposed and a graft cannot cover it.
Longer than for ordinary surgery, because the joined vessels are watched closely for the first several days. Movement, warmth and position are restricted at first. The expected stay is explained before admission so family can plan leave and travel.
It will not be the same as an uninjured finger. Movement is usually reduced, sensation returns slowly and cold feels uncomfortable for a long while. What matters is whether the hand as a whole works better with that finger than without it.
Yes, and it matters a great deal. Nicotine narrows the small vessels that the entire operation depends on. Stopping before planned surgery, and staying off it through recovery, gives the flap a far better chance of settling well.
