Conceptual Study to Establish Basic Principle of Flap Method of Plastic Surgery of Sushruta in Modern Pilonidal Sinus Surgery
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Abstract
Flap Method is the base of Plastic and Reconstructive surgery. Flap is a unit of tissue which is lifted from donor site and moved to a recipient site with an intact blood supply. It is done to fill a defect such as wound resulting from injury or surgery when the remaining tissue is unable to support a graft. Flap Method is a sub-speciality of plastic and Reconstructive surgery. Various types of flaps are performed, and the indications for them are even more diverse.1
Acharya Sushruta is the father of Surgery. First Nasal Reconstruction using a forehead flap was performed by Sushruta in India during 600 to 700 B.C.2 The basic principle during this surgery was Vascularisation.
This basic principle of vascularisation during flap method is used now-a-days in Limberg Rhomboid Flap surgery of Pilonidal Sinus. It describes a technique for closing a 600 rhombus shaped defect with transposition of flap. It is the practical application of flap method in Rhinoplasty of Sushruta.
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