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TRAUMA

Dr Sylaidis offers a seven day per week emergency service for acute injuries requiring specialist plastic surgical treatment. He deals with work related injuries, motor vehicle accidents, sport and all types of domestic injuries (including minor burns). Major injuries requiring management of severe head, chest, abdominal or limb injuries are referred to the major trauma hospitals.
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The most common types of injuries Dr Sylaidis deals with are:
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bullet Facial fractures and lacerations from, motor vehicle or sporting accidents and assaults
bullet Hand injuries from industrial or domestic injuries
bullet Leg trauma following motor vehicle accidents
bullet Burns, both work related and domestic accidents

Head and Neck Trauma

We provide 7-day per week cover for all plastic surgical emergencies, which include facial trauma. Dr Sylaidis is very skilled in facial reconstruction, having done two head and neck fellowships and one craniofacial fellowship during his training.
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Facial trauma usually involves fractures of the facial bones or wounds to the overlying skin and soft tissues. The most common fractures are of the nose, cheek and jaw. If the bones are displaced, then they need to be returned to their normal positions, and often held in place with micro plates while they heal.
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Soft tissue wounds need accurate repair in order to attain good functional and aesthetic outcomes. Such repairs are usually done under magnification. The face is a composite of critically important structures, and complex injuries require expert repair.

Emergency Hand Surgery

This encompasses a wide range of conditions from a simple skin wound requiring only dressings, to severe crush / amputations of limbs requiring complex microsurgery.
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Amputations need immediate treatment if replantation is to be successful. The amputated part should be washed thoroughly, then wrapped in moistened gauze, placed in a sealed plastic bag then the bag immersed in ice-water slurry. Cooling the amputated limb in this fashion prolongs its survival until it is able to be replanted and its circulation re-established. Time is of the essence if replantation is to be successful and every hour counts.
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Less urgent cases are placed on next available operating lists. The most common types of injuries involve the fingertips. Surgery may or not be required for simple fingertip injuries. Simple skin or pulp loss up to one square centimetre is often treated conservatively with dressings. More complex skin and pulp wounds may require local flaps or skin grafts, especially if bone is exposed. Often it is more sensible to slightly shorten a fingertip rather than embark on complex reconstructions. All cut tendons and nerves need surgical repair as do most fractures, unless they are very stable. Dr Sylaidis will asses and advise you of the options and monitor your postoperative rehabilitation. Hand surgery has been a large part of his past practice.
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Post operative rehabilitation is crucial to attaining an optimal outcome following hand surgery. This is very dependent on the patient's motivation and correct application of his mobilization program.

Lower Limb Trauma

These injuries are usually the result of high speed motor vehicle accidents, especially for motorcyclists. Fractures of the long bones are dealt with by the resident orthopaedic surgeon. However providing skin cover to the fracture site, after thorough wound cleansing and bone stabilization, is crucial for problem free healing and function. Additionally, Dr Sylaidis may repair any severed arteries or nerves.
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Replacing lost or damaged soft tissues to the lower limb may require the transfer of local tissues or micro-vascular free tissue transfer. Such operations are best done within the first 72 hours, before bacterial contaminants have had a chance to become established.

 

 
PLASTIC SURGERY AND COSMETIC SURGERY in Adelaide. Dr Peter Sylaidis - Accredited Plastic Surgeon and Cosmetic Surgeon -- © Sylaidis Plastic Surgery 2009 - Adelaide, South Australia