The Department of Plastic Surgery was established in 1965. It is manned by Twelve fully trained Plastic Surgeons with a team of four registrars and a fully equipped Microvascular Lab.

It offers state of the art tertiary level care in all disciplines of Plastic Surgery. The department has an outstanding team of specialists covering all aspects of Plastic Surgery such as Aesthetic Surgery, Craniofacial surgery, Hand Surgery, Reconstructive Microsurgery, Burns and General Plastic Surgery. Approximately fifteen hundred major surgeries are done per year and emergency services are available round the clock. We are one of the centres of excellence in Replantation and Microsurgery and also one of the few multidisciplinary Craniofacial Surgery centres in India.

The department has a very active academic programme. It is accredited by the National Board of Examinations for post graduate training in Plastic Surgery. The Department has an active community outreach programme in partnership with Smile Train Inc. of USA and under this Smile Train Sir Ganga Ram Hospital Cleft Project, free surgeries are done for poor patients with clefts of lip and palate.

TRENDS

Last decade has been the period of accelerated growth. As is obvious from the figures below the number of admissions and operations have increase almost five fold. The surgeries have increased not only in numbers but also in complexity. A large number of complex microsurgery and craniofacial surgery and aesthetic surgery is being done. Major emphasis is laid on quality of work and not just quantity. The quality is carefully documented and maintained in a monthly audit. This has helped to a great extent in maintaining high standards of work.

ANNUAL AUDIT 2005-2006

Aesthetic / Cosmetic Surgery

The rapid acceptance by the public of cosmetic surgery confirms its value and the need for it. Cosmetic surgery covers a wide variety of procedures from head to toe. The number of aesthetic surgery performed has steadily increased from 43 in 1998 to 230 in 2005. Procedures include Facelift, Liposuction, Breast reduction/ augmentation abdominoplasty etc.

Aesthetic/ Cosmetic Surgery in India has undergone a radical change over the last decade. Even since beauty queens from India (Refer Ashwarya Rai and Sushmita Sen) have started winning international beauty pagents, the number of patients demanding Cosmetic Surgery in India is rapidly climbing. There was a time when rich Indians looked towards the west for Cosmetic Sugery. This trend is now reversing and a large number of people from the west are coming to India for Cosmetic Surgery where it can be done for fraction of what it costs in this country. Operations as shown in this slide are routinely being done in our hospital. 

Annual Audit 2005-2006

Reconstructive Microsurgery

Reconstructive microsurgery is the other area of Plastic Surgery where we have taken long strides. SGRH can boast of being the leading centre in the whole of north India for replantation surgery for finger, hand or limb amputations. Besides this complex reconstructions for major tissue losses either due to trauma or cancer is mostly done by advanced microsurgical techniques.

Annual Audit 2005-2006

Craniofacial Surgery

The third major superspeciality of Plastic Surgery i.e. craniofacial surgery is as advanced as cosmetic and reconstructive microsurgery. We do more than 300 operations on children with clefts of lip and palate every year. Reconstruction of craniofacial soft tissue and bony injuries (bottom left) is done using advanced bone fixation techniques. Major facial vascular malformations (top right) are managed by preoperative embolisation followed by surgical excision). Other complex faciomaxillary reconstructions are being routinely done. 

Annual Audit 2005-2006

ACADEMIC ACTIVITIES

Our department is the first private hospital in India to start DNB training programme in Plastic Surgery in the year 2002. The Unit is recognised for training in our DNB student is taken for this programme. Every year the selection is done on merit by an MCQ exam and an interview. The department conducts its on academic meeting twice a week to discuss important and interesting cases. Regular teaching programmes include clinical demonstrations, journal club, seminars and guest lectures. The curriculum of department aims to make the trainees independent surgeon with basic training and knowledge of plastic surgery. The faulty actively participate in imparting microsurgery training at the Ethicon Institute of Surgical Education.

Dr. Suresh Gupta 

• Life time achievement award from Association of Plastic Surgeons of India (UP Chapter), Agra- March 2005.

• Life time achievement award- Association of Plastic Surgeons of India, Delhi- Nov., 2005.

• Endless search for a better method of Breast Reduction "Invitation Lecture" delivered at International Workshop on Rhinoplasty and facial Aesthetic Surgery, Kolkata, Feb 3rd 2006. 

Dr. R.K. Khazanchi

• Demonstrated dissection of Omental flap at Rapid Free Flap Workshop, Hyderabad in June 05.

• Delivered a guest lecture "Plastic, Cosmetic and Vascular Surgery" at India Medical Tourism Expo 2005 in London, June 2005.

• Chaired a session in 40th National conference of Association of Plastic Surgeons of India, APSICON 2005, New Delhi, Nov.05.

• Chaired a session in Annual meeting of "Indian Society of Reconstructive Microsurgery" (ISRM), Coimbatore, Feb 06.

• Guest lecture "Anterolateral thigh perforator flaps-lessons we have Learnt" Annual meeting of "Indian Society of Reconstructive Microsurgery" (ISRM), Coimbatore, Feb 06.

• Elected President of Indian Society of Reconstructive Microsurgery in Feb 2006.

• Appointed Deputy Editor of Journal of Brachial Plexus and Peripheral Nerve Injury in March 2006.

• Elected executive member of Indian Association of Aesthetic Plastic Surgeons(IAAPS). 

• Lecture "Medical Negligence" Seminar on Consumer Protection Law- Awareness & Education, Campus law Centre, University of Delhi, March 2006.

Dr. S.S. Saha

• Guest lecture "Aesthetic Surgery in Perimenopausal females" Annual meeting of Indian Menopausal Society, New Delhi, March 2006.

• Guest Lecture "Post weight loss body contouring" Asia Pacific Obesity Conclave APOC 2006, New Delhi, March 06.

• Presented paper "Microsurgical mandibular reconstruction" at 5th International Conference of Rajiv Gandhi Cancer Institute & Research Centre (RGCON), March 2006. 

Dr. Vasundhara Oberoi

• Guest lecture "Aesthetic Surgery" at the monthly meeting of Indian Medical Association Branch at Sir Ganga Ram Hospital, New Delhi, Jan 2006.

• Guest lecture "Aesthetic Surgery in Massive Weight Loss" at the Asia Pacific Obesity Conclave, New Delhi, March 2006.

Dr. Aditya Aggarwal

• Chaired a session in Annual meeting of "Indian Society of Reconstructive Microsurgery" (ISRM), Coimbatore, Feb 06.

• Presented paper "Trauma salvage of critically injured limb role of Microsurgery" at Delhi chapter of ASI (Association of Surgeons of India), March 2005. This paper was given the best paper award.

• Presented paper "Role of Microvascular free tissue transfer in Head and Neck Cancer Surgery" at 5th International Conference of Rajiv Gandhi Cancer Institute & Research Centre (RGCON), March 2006. This paper was given the best paper award.

• Guest lecture "Salvage of Critically Injured Limb" on 30th March 2006 at Gurgaon Orthopaedic Club.

Dr. Vivek Kumar

• Participated in panel discussion on "Burn disaster management" on DD News in March 2006. 

• Successfully completed the qualification process as Internal Auditor based on ISO 9001-2000 requirements and appointed Internal Auditor for Sir Ganga Ram Hospital in March 2006.

COMMUNITY OUTREACH ACTIVITIES 

Department of Plastic surgery is actively involved in social services. It organizes routinely medical camps in remote areas of the country to provide free medical consultation and treatment. In the year 2005 we organised three camps in Panipat and Mathura where needy patients were seen and then treated free of cost at Sir Ganga Ram Hospital. 



SMILE TRAIN PROJECT

The Department is affiliated with Smile Train Inc. of USA (A non-government charity) and runs the Smile Train SGRH Cleft Project in which poor and needy patients with facial clefts are treated free of cost at Sir Ganga Ram Hospital. In the year 2005, 124 cleft surgeries were performed under this project. 

INTERNATIONAL MISSION PARTICIPATION 

The Department regularly partners with Operation Smile (a US based international charity) in their International Cleft missions in India and abroad. In these missions, free operations (reconstructive plastic surgery) are done on poor patients in remote areas. 

AESTHETIC (COSMETIC) SURGERY
- Liposuction and lipoinjectionn 
- Face lift (Rhytidectomy), forehead lift, brow lift 
- Rhinoplasty (Nose cosmetic surgery)
- Breast augmentation/ reduction/ mastopexy
- Blepharoplasty (Eye bag surgery)
- Lip augmentation /reduction
- Surgery for facial scars, acne marks/ white patches
- Abdominoplasty and other body contouring surgery 
- Endoscopic Aesthetic surgery
- Hair transplant 
- Botox injections/ fillers/ thread lift 

EMERGENCY PLASTIC SURGERY
- Facial injuries 
- Craniomaxillofacial injuries
- Extremity trauma with compound injuries/ Hand Injuries
- Replantation of digits, ear & scalp and external genitalia
- Burns

HAND SURGERY
- Complex Hand injuries
- Carpal tunnel syndrome (keyhole and Endoscopic)
- Dupuytren's contracture
- Joint reconstruction
- Tendon reconstruction 
- Toe transfers/ Pollicization
- Congenital hand anomalies
- Soft tissue tumors
- Brachial Plexus Injuries
- Surgery for rheumatoid arthritis 

CRANIOFACIAL SURGERY
- Cleft lip and palate and other facial clefts and deformities
- Craniofacial Surgery (Craniosynostosis & Hypertelorism) 
- Skull base surgery
- Head and neck tumors
- Orthognathic surgery

RECONSTRUCTIVE MICROSURGERY
- Microvascular free tissue transfers (skin, muscle, bone, composite)
- Replantation and revascularization
- Reconstruction of peripheral nerve and brachial plexus injuries
- Reanimation for facial palsy
- Recanalisation of vas, fallopian tubes and vasoepididymal anastomosis for infertility 

CONGENITAL AND ACQUIRED DEFECTS OF TRUNK AND GENITALIA
- Gender reassignment surgery
- Vaginal reconstruction
- Penile Reconstruction
- Hypospadias and epispadias
- Chest and abdominal wall reconstruction

BURN SURGERY
- Acute burn management 
- Reconstruction of post burn sequelae