This is a world record of undertaking a maximum number of complex micro surgical free flaps in one patient who had no resources and has returned back to a normal life. Successful rehabilitation following extensive post- traumatic, life threatening loss of the anterior abdominal wall, anterior wall of the urinary bladder, pubic symphysis and pubic ramus, phallus, scrotum, testes and upper half of thigh soft tissue. A young man aged about 40 years, sustained extensive degloving injury following a run over accident in October 1994.
The patient was hit by a speeding truck and was dragged on the road for over 10 meters, with possibly the patient caught between the front wheel of the truck between his two legs and body by the bumper. The patient was initially treated at a Surgical Center in Gujarat, wherein early re-succitation, wound debridement and Urinary catheterization was undertaken,…
