Plastic & Reconstructive Surgery in Sangli

Plastic & Reconstructive Surgery at Deccan Malti Hospital, Sangli focuses on reconstruction — repairing what injury, infection, burns or cancer surgery has taken away. This includes complex wound management, skin grafting and flaps, hand and facial injury repair, scar revision and post-cancer reconstruction, working closely with the hospital's oncology and orthopaedic teams. The goal is always two-fold: restore function first, and then achieve the most natural appearance possible.

Plastic & Reconstructive Surgery at Deccan Malti Neuro & Superspeciality Hospital, Sangli
Overview

How our plastic & reconstructive surgery team can help

Plastic surgery is widely misunderstood as only cosmetic surgery. In a hospital setting, its core role is reconstructive: the crushed hand after a machine injury, the diabetic foot wound that will not heal, the facial cut that needs meticulous repair, the tissue defect left after cancer removal. These are problems where plastic surgical techniques — grafts, flaps, microsurgery — make the difference between loss and recovery.

Equally important is timing. Hand injuries and facial lacerations repaired well in the first hours heal dramatically better than those repaired late or casually. Wounds that fail to heal with routine dressings often need a reconstructive opinion sooner rather than later.

Every reconstructive plan here begins with function: a hand that works, a wound that closes, movement that returns. Aesthetic refinement follows from that foundation.

Conditions

Conditions we evaluate and treat

Hand & Finger Injuries

Cuts, crush injuries, tendon and nerve damage from industrial or domestic accidents. Precise surgical repair of tendons, nerves and skin gives the best chance of regaining hand function.

Deep hand cuts with loss of movement or sensation need surgical evaluation within hours, not days.

Non-Healing & Diabetic Wounds

Wounds that fail to heal with routine dressings — diabetic foot ulcers, pressure sores, post-surgical wounds. Reconstructive options include grafts and flaps after the wound is properly prepared.

A diabetic foot wound with spreading redness, fever or black tissue is an emergency.

Burns & Post-Burn Deformity

Acute burn care and later correction of contractures — tightened scars that restrict movement of the neck, hands or joints — through release and reconstruction.

Burns of the face, hands, joints, or larger than the patient's palm need hospital care from the start.

Facial Injuries & Lacerations

Facial cuts, fractures and soft-tissue injuries repaired with fine techniques that prioritise both healing and appearance.

Facial injuries with vision change, bite misalignment or numbness need specialist review.

Post-Cancer Reconstruction

Restoring form and function after cancer surgery — for example after oral or soft-tissue tumour removal — planned together with the oncology team.

Reconstruction planning works best when done before cancer surgery, not as an afterthought.

Scar Revision

Improving scars that are thickened, tight, painful or restricting movement, using surgical and non-surgical methods with realistic expectations.

A scar that keeps growing beyond the wound margins (keloid) needs early specialist advice.

Symptoms that deserve evaluation

  • A wound not showing healing progress after 2–3 weeks of dressings
  • Loss of finger or hand movement or sensation after a cut
  • Tight, thickened scars limiting joint movement
  • Diabetic foot ulcers or non-healing sores
  • Facial or hand injuries needing careful repair
  • Tissue loss expected after planned cancer surgery
When not to wait

Deep hand injuries with loss of movement or sensation, amputated parts (keep the part clean, wrapped in moist gauze inside a sealed bag on ice — never directly on ice — and reach hospital immediately), and spreading infection around wounds are time-critical emergencies.

Diagnosis

How we diagnose

Assessment begins with the wound or injury itself: its depth, the structures involved — tendons, nerves, vessels — and the condition of surrounding tissue. For non-healing wounds, the underlying cause is investigated: circulation, sugar control, infection and pressure factors.

X-rays evaluate associated fractures; vascular assessment may be needed for poorly healing limbs. For planned reconstruction, photographs and measurements help plan the procedure and track results.

The reconstructive options are then explained in order of complexity — from simpler to more involved — because in reconstruction, the simplest method that will reliably succeed is usually the right first choice.

Treatment

Treatments & procedures

Treatments span the reconstructive ladder: meticulous wound care and negative-pressure therapy for wound preparation; skin grafting for clean, well-prepared wounds; local and distant flaps for deeper defects with exposed bone or tendon; and microsurgical techniques for nerve and vessel repair.

Hand surgery repairs cut tendons and nerves with fine sutures under magnification, followed by supervised hand therapy — the repair is only half the treatment; disciplined therapy determines the final function.

For burns and scar contractures, release procedures restore movement, and staged revisions improve appearance. Expectations are discussed honestly: reconstruction improves function and appearance significantly, but scars can be refined, never erased.

Why Choose Us

Why patients choose this department

  • Reconstruction-first philosophy — function restored before appearance refined
  • Coordination with orthopaedics, oncology and diabetology for complex cases
  • Structured wound-care pathway for non-healing and diabetic wounds
  • Honest counselling about what reconstruction can and cannot achieve
  • Hand therapy and rehabilitation integrated into recovery plans
Your Specialists

Meet your care team

Specialist details for this department are being updated. Please call +91 883 000 6879 to consult.

Care Pathway

Your journey through this department

1
Evaluation

Assessment of the wound, injury or defect and the structures involved.

2
Cause correction

Sugar control, circulation and infection addressed before reconstruction.

3
Reconstructive plan

Options explained from simple to complex; photographs for planning.

4
Procedure

Grafting, flap, tendon/nerve repair or contracture release as planned.

5
Therapy & follow-up

Hand therapy, splinting, scar care and staged reviews.

Preparing for your visit

  • Complete wound or injury history — when, how, and what treatment so far
  • Photographs of the wound over time, if available
  • Recent sugar and HbA1c reports for diabetic wounds
  • List of current medicines, especially blood thinners
  • Previous operation notes for revision or secondary procedures
  • Insurance documents for planned admissions
Recovery

Recovery & follow-up

Recovery in reconstructive surgery is measured in weeks to months, and therapy is central: tendon repairs need weeks of protected movement under a hand therapist's guidance; grafts and flaps need careful wound care until fully settled.

Scar care continues for months after healing — massage, silicone products, sun protection and pressure garments where advised. Scars mature for a year or more; patience with this process is rewarded.

Follow-up visits track healing, adjust splints, and plan any staged procedures. Attending them is part of the treatment, not an optional extra.

FAQs

Plastic & Reconstructive Surgery — questions patients ask

Is plastic surgery only cosmetic?
No. In a hospital setting, plastic surgery is primarily reconstructive — repairing hand injuries, closing difficult wounds, treating burns and rebuilding tissue after cancer surgery. Cosmetic procedures are only one small part of the speciality.
My wound has not healed for a month despite dressings. Why?
Wounds stall for identifiable reasons: poor circulation, uncontrolled diabetes, infection, dead tissue, or repeated pressure. A reconstructive assessment finds the cause and prepares the wound so that closure — by healing, graft or flap — can actually succeed.
How soon should a cut hand tendon be repaired?
Ideally within hours to a few days. Tendons and nerves repaired early heal with better function. If you have a deep hand cut with reduced finger movement or numbness, do not wait for a routine appointment.
Can burn contractures be corrected years later?
Yes. Even long-standing contractures restricting neck, hand or joint movement can be released and reconstructed. Earlier correction is easier, but meaningful improvement is possible years after the burn.
Will the scar disappear after plastic surgery?
No surgery can erase a scar completely. Fine repair techniques, proper wound care and later scar management make scars considerably less noticeable and prevent tightness — realistic expectations are discussed before any procedure.
What should I do immediately if a finger is cut off?
Control bleeding with direct pressure. Wrap the amputated part in clean moist gauze, seal it in a plastic bag, and place that bag on ice — never put the part directly on ice or in water. Reach a hospital with reconstructive capability immediately; time matters enormously.
Is skin grafting painful and how long does it take to heal?
Grafting is done under appropriate anaesthesia. The grafted area typically settles in 1–2 weeks; the donor area (usually the thigh) heals like a graze in about two weeks. Both areas are reviewed at follow-up.
Can reconstruction be planned before cancer surgery?
Yes, and it should be. When tumour removal will leave a significant defect, the reconstructive surgeon plans alongside the cancer surgeon so that form and function are restored in the same operation or a planned sequence.

Ready to talk to a specialist?

Request an appointment and our team will call you to confirm a convenient slot.

Content for education only. This page provides general information, not a diagnosis or treatment recommendation. Always consult a qualified doctor about your specific condition. Last updated: August 2026 · Medically reviewed by: [VERIFY MEDICAL REVIEWER]
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