Reconstructive Surgery for Animal Attacks: Connecticut to Zambia

Today several news programs covered the tragic story of the Connecticut woman who was mauled by a chimpanzee.  According to MSNBC, a team of surgeons worked for seven hours to try to save the woman.  Hearing this story reminded us of the work our surgical partners in developing countries do periodically---usually alone and without state-of-the-art medical equipment---but still with results better than thought possible.

For example, Dr. Yogi Aeron, Interplast outreach director in Northern India and one of the few reconstructive plastic surgeons in the region, is known for his expertise in restoring functionality to those who have been bitten by wild bears.  Dr. Goran Jovic, Interplast surgical outreach director and the only plastic surgeon in Zambia, has helped heal those attacked by hyenas (see photo above, caution graphic photos when following links) and chimpanzees.  Both surgeons work in near isolation, in developing world hospitals with dated infrastructure, on the poorest of the poor; yet, they are able to miraculously give the neediest in our midst the care they need after tragic animal accidents.

Interplast supports them with oversight and funding, as well as teaching tools like Interplast Grand Rounds, a web-based program that connects isolated, developing world surgeons with a global network of medical professionals for advice on difficult cases.  Read more about reconstructive surgery in Zambia for the hyena and chimpanzee attacks, see below and after photos and view the thread of global advice on Interplast Grand Rounds.

Caution graphic photos when following links

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Reconstructive plastic surgeons use the concept of a reconstructive ladder to manage increasingly complex wounds. This ranges from very simple techniques such as primary closure and dressings to more complex skin grafts, tissue expansion and free flaps.

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I suppose many of these procedures are constantly being improved. Recent literature in medline also has noted implementation of Barbed suture in these procedures

[Warren38]

Saw my Neurosurgeon today--and as far as he's anxious I'm a achievements situation. MRI to be done in the next 2-3 several weeks (just to be sure there's nothing hanging out behind the last of the body, although both angio's were apparent before I was released from the hospital).
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I commend and applaud your efforts. These children need reconstructive surgery after their worst mishaps.

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The important thing is that he's safe after the surgery. I appreciate the work of the surgeons. They did a great job on that.

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CCSVI Clinic has been on the leading edge of MS treatment for the past several years. We are the only group facilitating the treatment of MS patients requiring a 10-day patient aftercare protocol following neck venous angioplasty that includes daily ultrasonography and other significant therapeutic features for the period including follow-up surgeries if indicated. There is a strict safety protocol, the results of which are the subject of an approved IRB study. The goal is to derive best practice standards from the data. With the addition of ASC transplantation, our research group has now preparing application for member status in International Cellular Medicine Society (ICMS), the globally-active non-profit organization dedicated to the improvement of cell-based medical therapies through education of physicians and researchers, patient safety, and creating universal standards. For more information please visit http://www.neurosurgeonindia.org/

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I commend this initiative and strategic tie up between the two nations. These children deserve the right for facial reconstruction.

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Etoile:Inmobilization and compression csotinss of wrapping the breasts with a compressive bandage so they don't move, and providing compression to prevent swelling.Brava is, in my opinion, a very cumbersome apparatus that is worn on your chest wall with suction. Brava is used before and after fat injection, Compression wrapping is only done for 2 weeks after surgery.If you want more info contact Kelly at to set up a virtual consult. Etoile wrote November 12, 2009 at 6:18 pm Tks for the quick reply. What's this immobilization and compression? I though Brava has the same effect, no? I heard that it has to be more than 2 months of using this pads and compression and then inject the fat. Is this truth? wrote November 12, 2009 at 2:29 pm Etoile:The Brava system is not required. I personally believe that immobilization and compression is more important. I use a series of pads and compression, and my results have been great. Etoile wrote November 11, 2009 at 6:48 pm hey, that's excited ! I am really interesed in this surgery. I have very tight breast and narrow plus small. Can I receive this kind of surgery? Should I wear the Brava system? Cheers ! wrote October 2, 2009 at 9:46 am This is a widget which tracks what people are saying about fat stem cells on Twitter. If you can not see it, you may (?) need a software upgrade on your computer. wrote October 2, 2009 at 8:30 am Where is the full article. Can't locate it to read. Please advice. wrote September 30, 2009 at 3:03 pm Very interesting post. Thanks for sharing! SEARCH BLOG ContributorsDr. Ricardo L RodriguezPlastic Surgeon Popular Posts 111 comments 97 comments 95 comments 90 comments 88 comments

[Romana]

Deborah and I led parallel lives for a while. We met in cogelle and sang in the awesome alto section of choir (along with Lauren, our fearless section leader). We discovered that we had lived in the same teacherage (during different years, of course) as our parents were Lutheran school teachers. We attended Concordia together. I was an RA for our floor; she was my sub-RA during student teaching. THAT was easy money for her.Deborah taught in Minnesota; upon graduation, I moved just 30 minutes away from her to teach in a Lutheran school. Deborah got married and moved away; I got married and moved away.Deborah and Charles moved to Nebraska; Jerome and I moved to Nebraska, just 30 minutes away. Deborah taught at a Lutheran school; I taught at the same Lutheran school. Deborah bore Macy; I bore Joanna. Since we were both home with babies, we got together weekly for play-dates and a check-in with real adults for real conversation.And that is where the parallels end. We just couldn't keep up with the Gebhardts in the child department, and then they moved to the beautiful ski country of Utah.

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A late entry on this page. I am Jane, another New York frined. My husband and I knew Charles when he was a new teacher at LuHi and single and then we met Deb, and a wonderful match was made. They were our neighbors in the mansion! LuHi people have lots of fun together at the pool, on holidays, and for Cinco de Mayo, a Gebhardt special event. All of these events made our frinedship stronger.I am always jealous when the Hahns and Wengers get to hang out with Deb and Charles at ALSS as I don't get to go to that conference. But it is wonderful that they get together each year. Debi, I'll be you're missing your annual gathering. Just think, by next year, you'll be back at it!!Although I didn't get to see Deb when they visited at Thanksgiving, I did get to meet the girls and they are wonderful! So blessed to have loving, adventurous parents like Deb and the husband. -Jane

[Aki]

We met Charles and Deborah because of the Minnesota Vikings. My hubsand, our two boys and (I'm pretty sure) Charles dream in purple and gold, and I greatly enjoy watching their excitement on those Sundays in the Fall. They've also been such great support to each other when the mighty fall. From this beginning, we learned more about this wonderful family. Deborah and I share a love for our Redbirds, both being from the greatest state in the Nation! I really do think we have more in common than sports but that's not a bad beginning!! Deborah also teaches my oldest in Kindergarten and I look forward to her facing off with our youngest in a couple of years! Thinking of you always.Karey

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Poor kid! The victims of such accidents are lucky to have such qualified surgeons around

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Beth (Royuk) Pester here. I first met Deborah when we were on a Spring Weekend team together. Actually her seitsr, Lois, and I were the only two freshmen invited to be on that team of upperclasswomen. We learned later that we were only included because none of them wanted to do the water/pool events, and because we were freshmen, they could make us do those. And then I got to know both Deborah and the husband even better during summers together in Seward. Those were great days. Some of the best, really.Also, Brad is my brother. And Lloyd and Lauren are my great friends/adopted siblings and fellow residents of Seward.

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Lloyd and I know the Gebhardts from college when we were all in choir toetgher. Deborah is a fellow alto booyah!When Lloyd and I moved back to Seward after living in Maryland a couple of years, Charles and Deb would stay with us for part of the summers while working on their masters degrees at Concordia. Much fun was had by all!When they lived in Norfolk, we would make the trek up there every so often to make sure they were alright. We especially checked on them each and every May 5th.(Bethany is our goddaughter, too.)

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