::Departments : Super Specialities : Plastic Surgery
INSTITUTE FOR RESEARCH AND REHABILITATION OF HAND
AND DEPARTMENT OF PLASTIC SURGERY
GOVT. STANLEY HOSPITAL, CHENNAI



 
History of the Institute
This institute was started as the department of Plastic and Reconstructive surgery in 1971 by Prof.R.Venkataswamy with 20beds (Phase I). In 1974,Hand Injury Service was started with a separate Hand Injury ward with 20 beds and a dedicated Hand Injury Operation Theatre (HIOT) exclusively for Hand and a separate database for Hand and Plastic Surgery were also established (Phase II).

This is the only Organised Center for Hand and Microsurgery in the country and renders the following specialized Hand Reconstruction and Rehabilitation services in addition to Plastic Surgery.
1.     Surgery on Acute Burns and burns sequelae
2.     Reconstructive Surgery of the head and neck, extremities, genitalia, abdominal wall and chest
3.     Cosmetic surgery procedures
4.     Facio-maxillary trauma management – treatment of soft tissue injuries and fractures of the facial skeleton
5.     Onco reconstructive surgery
6.     Surgery for hypospadias and filariasis
7.     Surgery on acutely injured Hand
8.     Reconstructive Hand surgery - following trauma, burns, infection, congenital, etc.
9.     Reconstructive Microsurgery
10.  Anesthesia for Hand and Microsurgery
11.  Hand therapy and Rehabilitation
In order to create human resources and broaden the services, Post Graduate Course in MCh plastic surgery was started in 1978 and the department was re-designated as “Department of Plastic and Reconstructive Hand Surgery” in 1979. Exclusive Elective operation theatre complex with five tables (two for plastic surgery, one for microsurgery and two for day emergency hand injury) and a 20 bed ward for women and children and a dedicated physiotherapy section were established in 1982. (Phase III) The concept of early primary skin cover and in continuity management under one roof, unique documentation system and morning conference are the special features of this institute.

The department was upgraded as an Institute for Research and Rehabilitation of Hand and Department of Plastic and Reconstructive Hand Surgery with additional staffs and 20 beds in 1987(Phase IV) and recognized as center of excellence in 1998 with 6 bed ICU and later in 2003 a new building complex with 20 more beds were commissioned (Phase V).

In order to develop human resources and expand the services on this very specialized Hand and Microsurgical services, this Institute is divided into Department of Plastic and Reconstructive Surgery and the Institute for Hand and Reconstructive Microsurgery in 2008. (Phase VI), thus committed to the society to establish a new post graduate higher specialty course in M Ch Hand and Reconstructive Microsurgery and making the service more accountable and opened a new chapter in the management of a very important Regional Anatomical Organ – The Hand.

This institute has been designated as the Nodal Training Center for Hand and Microsurgery and a statewide Training Program for medical officers and paramedical staffs at all levels of healthcare delivery system has been initiated by the Government of TamilNadu with an announcement in the last Assembly Session, April, 2009.
 
 
Milestones of development
1971 DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY - 20 BEDS

1974 HAND INJURY SERVICE - HAND INJURY OT & HAND INJURY WARD - 20 BEDS

1978 P G COURSE M.Ch. PLASTIC SURGERY

1979 RENAMED AS DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE HAND SURGERY

1981 FIRST RECONSTRUCTIVE MICROSURGERY

1982 EXCLUSIVE OT COMPLEX, WOMEN AND CHILDREN WARD – 20 BEDS AND PHYSIOTHERAPY SECTION STARTED

1984 CERTIFICATE COURSE IN “HAND SURGERY” - 2 Yrs

1987 UPGRADED AS “INSTITUTE FOR RESEARCH AND REHABILITATION OF HAND AND DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY” - 20 BEDS 

1998 CENTRE OF EXCELLENCE

2000 FELLOWSHIP HAND & MICROSURGERY - NATIONAL BOARD OF EXAMINATION

2001 CRITICAL CARE UNIT - 6 BEDS

2003 NEW BUILDING COMPLEX - MALE POST OP WARD - 20 BEDS

2007 POST OF READER IN RECONSTRUCTIVE MICRO SURGERY CREATED. FUNCTION AS TWO UNITS - DAILY OP SERVICES.

2009 BIFURCATED AS TWO INDEPENDENT DEPARTMENTS.
           1. DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY
           2. INSTITUTE FOR HAND & RECONSTRUCTIVE MICROSURGERY.
 
 
 
 
 
 
 
 
 
 
Performance Statistics
Out patients treated since 1971
 
 
Plastic Surgery                  
 
Hand
 
 
66000 / 41 years
 
3,40,000 / 41 Years
New Hand 3,000 / year
Review 9,000 / year
Dressing 24,000 / year
Physiotherapy 12,000 per year
 
II. In patients
Bed strength 80
Census 20000 / year
Occupancy Rate 100%
Admissions 2,000 / year
Discharges 2,000 / year
 
III. Elective operations
Hand
Plastic
1,800 / year
1,200 / year
 
IV. Emergency
A. Number of patients 9,000 / year
B.No. of Operations 7500 / year
 
V. Reconstructive microsurgery
Hand 600 / year
Other than Hand 40 / year
 
 
 
 
 
 
 
 
Divisions and Faculty
  1. Plastic and Reconstructive Surgery
Emergency Plastic surgery Service
Reconstructive Surgery
 
  1. Hand and Microsurgery
Hand injury Service
Reconstructive Hand Surgery
Reconstructive Microsurgery
Microsurgery Training and Research Laboratory
 
  1. ANAESTHESIA and PAIN RELIEF
 
  1. PHYSICAL MEDICINE and HAND REHABILITATION
Physiotherapy
Occupational Therapy
Orthotics and Prosthetics (Splint Workshop)
Social Rehabilitation



FACULTY
Prof and HOD
Dr.J.Mohan M.S.(Gen).,M.Ch(Plastic)

Faculty Members

Asst Prof : 
Dr.G.Karthikeyan M.S.(Gen).,M.Ch(Plastic)
Dr.P. Nellaiapper M.S.(Gen)., M.Ch(Plastic)
Dr.N.C Hariharan M.S.(Gen).,M.Ch(Plastic)
Dr.M.Sugumar M.S.(Gen)., M.Ch(Plastic)
Dr.G.S.Radhakrishnan M.S.(Gen)., M.Ch(Plastic)
Dr.M.RajKumar M.S.(Gen).,M.Ch(Plastic)
Dr.R.Sridhar M.S.(Gen)., M.Ch(Plastic)



Anaesthesia and Pain Relief :
Asst Prof: Dr.S.Sukumar M.D.,D.A.
Asst Prof : Dr.P.Mahendran D.A.

Rehabilitation of Hand & Hand Therapy:
Prof : Dr.S.Sampathkumar D.Phy.Med.,D.Ortho.,NB (PMR).
Senior Resident : Dr.J.Geetha Kalpana D.Phy.Med.,D.Ortho.,DNB (PMR).
 
Morning Conference
It is an important academic and scientific event and a surgical audit ,conducted every morning to discuss the emergency cases and operations of the previous duty day. Daily Audit of previous day’s work makes the faculty accountable for treatment given and benefit the trainee, staff and the patients. From surgeons view, it reviews the surgical plan, techniques, possible complications associated and their prevention. 

It also describes the correctness of the procedure, any change or modifications required, the after care,hand therapy etc. It is a learning class where teaching and training are blended to provide a clear picture of events that had taken place the previous emergency duty day for the audience who were not present that day.
 
Academic activities
 
Daily
Mon – Sat         Morning Audit                                       9 – 9.15 AM
                        Ward Rounds                                        9.15 – 10 AM
Weekly
Mondays:         Plastic Surgery Planning Session           2 – 4 PM
Tuesdays:         Hand Clinics                                          2 – 4 PM
Wednesdays:    Journal Club                                          2 – 4 PM
Thursdays:        Lecture Classes                                     2 – 4 PM
Fridays:                        Symposium                                          2 – 4 PM
Saturdays:        Morbidity Meet                                      2 – 4 PM
 
       
     
     
     
     
     
 
Monthly      
1st Monday Functional Anatomy & Biomechanics of Hand 2 - 4 PM
2nd Monday Surgical Anatomy - Surgical Techniques & Skill Lab  
3rd Monday Morbidity Meet & Review of Cases  
4th Monday Symposia, Poster & Electronic Presentation  
5th Monday Ward Rounds, Instruments, X-Rays, Surgical Procedures    
2nd week
Monday - Friday
Microsurgery Course
Introductory
Basic
Advanced

3 days
5 days
3 days
 
     
Quarterly    
Jan, Apl, Jul, Oct
2nd Sat
Review of Research Projects, Publications,
Presentations & Literature Video Presentation of Techniques.
2 - 4 PM
 
Annually      
Feb, May, Aug, Nov CMEP & WORKSHOP on Hand 
Flap Course 
Bone Fixation Course 
Tendon Repair Course
9 AM - 6 PM
 
 
 
Facilities and Services
Emergency Services:
24 hrs dedicated Hand and Reconstructive Microsurgery
Flap Surgery,Tendon, Bone and Joint surgery on hand including
Re plantation ,Reconstructive Micro vascular and Micro neural surgery
24 hrs Dedicated operation theatre for Hand Emergency – 4 operating tables
24 hrs Dedicated Critical Care Unit – 6 beds
24 hrs qualified expertise available for hand and microsurgery
24 hrs Emergency management of facial trauma and lower limb trauma
 
2. Out Patient Services:
Out patient service (New and Review ) - Daily 9AM-1PM
Dressing and Post Op services (dedicated dressing OT.) - Daily 9AM-1PM
Special Hand Clinics - Daily 1PM – 3PM
Wound Care Clinic - Daily 12PM – 1PM
Minor operations (Day Care Surgery) - Daily 1PM – 3PM
 
3. Physical Medicine and Rehabilitation (Integrated hand therapy.) Daily 9AM - 3PM
Physiotherapy, Occupational therapy, Splint work shop and Social welfare
 
4. In Patient Services Morning ward rounds - Daily 9AM
Wards - separate female and male wards and pre and post op wards
Hand injury ward & ICU -- 86 beds.
Elective Operation Theatre: 5 days a week 9AM-3PM
Dedicated 4 operation tables with microscope and other facilities
 
5.MicroSurgery Training and Research Lab:

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