Journal of Clinical & Experimental Dermatology Research
Open Access
ISSN: 2155-9554
ISSN: 2155-9554
Dammika Dissanayake
National Hospital of Sri Lanka, Sri Lanka
Scientific Tracks Abstracts: J Clin Exp Dermatol Res
Brachial plexus injury in adults has variable incidence throughout the world ��? commoner in those countries where motor cycle use is widespread as a mode of transport. Other types of road accidents, falls from heights, heavy objects falling on shoulder, shoulder dislocation, and entrapment in narrow spaces (machinery) are some of the other universal aetiological factors. Though upper brachial plexus injury is highly treatable surgically there is still scope for improvement in approach as well as technique. On the other hand, surgical management of global brachial plexus injury is still far from being perfect. In fact, variability and unpredictability in surgical results have left many a surgeon think twice before embarking upon certain procedures. Also, I personally feel that surgery at its contemporary standards have not much more to offer. However, there is definitely room for radical thinking that should develop new surgical procedures resulting in excellent outcomes. At the same time, there is a need for radical thinking that should incorporate fast emerging technologies such as robotics, nanotechnology, stem cell research and genetic engineering etc to help regain hand function in global plexus injury patients. In this presentation I have tried to propose a rational approach to decision making and surgical management of both upper and global brachial plexus injuries. This is based on our extensive experience in managing these injuries over the years. It will be presented mainly in the form of algorithms and guidelines.
Dammika Dissanayake obtained his MD in 2000. He initially had training in General Surgery that was followed by Plastic Surgery which included special training in Hand Surgery. His special interests include aesthetic surgery and micro surgery. He was trained in Sri Lanka, India, Australia and Singapore. He has several publications in indexed journals to his credit. He also has delivered many lectures/presentations in international forums. He has been instrumental in conducting several free reconstructive surgery sessions for the underprivileged patients amounting to hundreds of operations over the years.