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Diabetic Foot Surgery with Flaps and Skin Grafting

Diabetic foot surgery with flaps and skin grafting is a specialized reconstructive procedure that restores function and appearance in patients suffering from severe foot ulcers due to diabetes. Dr. Bharat Saxena, a Gold Medalist and expert in trauma & lower limb reconstruction, performs these procedures at both Nanavati Max Super-Speciality Hospital and his clinic, Saxena Aesthetics, in Mumbai. With his renowned expertise in reconstructive and plastic surgery, Dr. Saxena helps patients recover mobility, prevent amputation, and improve quality of life.

What is Diabetic Foot Surgery with Flaps and Skin Grafting?

What is AV Fistula for Dialysis?

This surgical procedure involves removing dead tissue from diabetic foot ulcers and reconstructing the defect using skin grafts or tissue flaps. It’s a critical limb salvage technique designed to promote healing, preserve the foot structure, and avoid amputation. It’s commonly performed when conservative treatments fail.

Common Indications

  • Chronic non-healing diabetic foot ulcers that expose tendons or bones
  • Infections leading to tissue loss requiring surgical debridement
  • Failed conservative treatments with risk of further limb damage
  • Soft tissue defects from trauma or post-debridement necrosis

Techniques Used

  • Local flaps help cover small defects using adjacent healthy tissue
  • Free flaps involve microsurgical transfer of tissue from another body part
  • Split-thickness skin grafts (STSG) are commonly used for superficial defects
  • Negative pressure wound therapy may be used pre-surgery to prepare the wound

About the Surgery/Treatment

Diabetic foot reconstruction involves a meticulous balance of removing infected tissue while preserving vital structures. Depending on the extent of the wound, Dr. Saxena may opt for local flaps, free tissue transfer, or grafting.

Treatment Process

  • Thorough clinical and imaging evaluation of the ulcer and vascular status
  • Preoperative wound bed preparation with debridement and infection control
  • Surgical flap coverage or skin grafting under sterile conditions
  • Post-surgical monitoring for graft uptake and wound healing

Benefits of this Surgery

  • Saves limbs and prevents major amputations
  • Promotes rapid and complete wound healing
  • Restores functional mobility and walking ability
  • Reduces hospital stay and long-term complications

This surgery is a vital option for patients with advanced diabetic foot complications. With his precision and experience, Dr. Bharat Saxena ensures optimal healing and restoration.

What to Expect After Surgery

The recovery journey is closely monitored to ensure the graft or flap integrates properly. Patients will need to follow strict wound care protocols to support healing.

Post-Surgery

  • Dressings are changed under sterile conditions
  • Antibiotics and pain management are prescribed
  • Non-weight bearing is advised initially
  • Regular assessment of graft/flap viability is conducted

Recovery Milestones

  • Graft integration typically begins within the first week
  • Visible wound healing usually by week 3-4
  • Progressive return to partial weight-bearing
  • Full recovery with proper post-operative care possible in 6 to 12 weeks.

Follow-Up Care

Regular follow-up is crucial for long-term wound healing and diabetes control.

Follow-up Schedule

  • First follow-up visit within 3-5 days post discharge
  • Weekly wound assessment for the first month
  • Monthly checkups until complete healing
  • Diabetic control review at every visit

Follow-Up Care

  • Dressing changes and wound inspections
  • Monitoring blood glucose and signs of infection
  • Reinforcement of foot care education
  • Orthotic support if needed for offloading

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    Dr. Bharat Saxena - Your Trusted Plastic Surgeon

    Meet Dr. Bharat Saxena - Your Trusted Plastic Surgeon

    Dr. Bharat Saxena is an experienced and highly qualified plastic surgeon specializing in both cosmetic and reconstructive surgeries. A gold medalist in M.Ch Plastic and Reconstructive Surgery from Sir JJ Group of Hospitals, Mumbai, he brings cutting-edge expertise in onco-surgery, trauma reconstruction, and aesthetic procedures. Dr. Saxena’s work is recognized worldwide, with numerous accolades highlighting his dedication to patient care and surgical excellence. He currently practices at Nanavati Max Super Speciality Hospital, one of Mumbai’s premier medical institutions, and leads his private clinic, Saxena Aesthetics, in Vile Parle—offering personalized, state-of-the-art treatments in a safe and comfortable environment.

    • Globally Recognized Expertise
    • Gold Medalist Surgeon
    • Advanced Aesthetic Techniques
    • Trusted at Nanavati
    • Founder, Saxena Aesthetics
    • Onco-Surgery Specialist
    • Reconstructive Surgery Mastery
    • Patient-Centric Approach
    why choose us Saxena Aesthetics

    Expertise and Compassion Combined for Exceptional Results

    Dr. Bharat Saxena offers unmatched expertise in both reconstructive and cosmetic surgery, with years of rigorous training and hands-on experience. At Saxena Aesthetics, we provide world-class aesthetic and reconstructive solutions, ensuring a personalized, patient-centric approach for every individual. Whether it's a complex reconstructive surgery or a cosmetic enhancement, our state-of-the-art techniques and compassionate care guarantee the highest quality outcomes.

    • Award-Winning Surgeon
    • Personalized Care
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    • Multidisciplinary Team
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    Saxena Aesthetics

    Your Trusted Clinic for Personalized Aesthetic Treatments

    Saxena Aesthetics is a leading plastic surgery clinic based in Vile Parle, Mumbai, dedicated to providing exceptional cosmetic and reconstructive treatments. With a focus on cutting-edge technology, personalized care, and the highest standards of safety, we cater to the unique needs of each patient. Whether you’re seeking aesthetic improvements or reconstructive surgeries, we ensure that you receive the most advanced and effective solutions for your concerns.

    • Trusted Clinic in Mumbai
    • Advanced Aesthetic Solutions
    • Personalized Treatments
    • Reconstructive Expertise
    • Patient-Centered Care
    • State-of-the-Art Technology
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    Meet the Experts - Saxena Aesthetics

    Meet the Experts Behind Your Transformation

    At Saxena Aesthetics, we pride ourselves on having a highly skilled, compassionate team of professionals. Led by Dr. Bharat Saxena, our multidisciplinary team includes specialists in gynecology, dermatology, and plastic surgery, all working together to provide the best care for every patient. From advanced surgical procedures to non-surgical treatments, our team ensures comprehensive care tailored to each individual's needs.

    • Experienced Specialists
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    Frequently Asked Questions

    The success rate is high when performed by experienced surgeons like Dr. Bharat Saxena. With proper patient compliance and care, outcomes exceed 85% in most cases.

    Patients are under anesthesia during surgery, so they do not feel pain. Post-operative discomfort is managed with pain relief medication.

    Initial healing takes 2-4 weeks. Full recovery, including mobility and return to activity, typically occurs within 6-12 weeks.

    Yes, flap and skin grafting are considered limb salvage procedures. They can significantly reduce the need for amputation when done timely.

    Dr. Bharat Saxena is a highly qualified and experienced plastic surgeon known for his success in diabetic foot surgery, trauma reconstruction, and complex flap procedures.

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    Book Your Consultation Today

    Take the first step toward healing your diabetic foot ulcer. Schedule your consultation with Dr. Bharat Saxena at Nanavati Hospital or Saxena Aesthetics.

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