Maharashtra University of Health Sciences Courses

M.Ch. (Plastic Surgery)

Course Syllabus

Basic Science

• Embryology and development of human tissues
• Genetics and congenital abnormalities
• Mechanism of healing of tissues, factors affecting the healing
• Infection and its management
• General principles of Surgery
• The suture materials and suture techniques
• Clinical examination of various systems and clinical photography
• General anesthesia pre and post operative care for general anesthesia
• Local, regional and other nerve blocks
• Hypotensive and hypothermic anesthesia
• Management of benign and malignant lesions
• Wound healing, wound care, dressings and splints
• Fluid and electrolyte balance, acid base balance
• Shock and pulmonary failure, blood transfusions, ventilatory support and critical care
• Assessment of trauma, vascular emergencies embolism

General Topics

• History of Plastic Surgery
• Scope of Plastic Surgery
• Tissue distortion, tissue loss and its management
• Tissue culture, Transplantation biology and its applications
•  Plastic Surgery instruments and equipments
• Maintenance of medical records, informed consent
• Applications of computer and related programs
• Social psychological, ethical and medico legal aspects communication skills
• mplants, orthotics and prosthesis and applied to Plastic Surgery
• Tissue expansion and tissue distraction
• Management of Leprosy, leprosy deformities and leprosy reconstructive surgery
• Endoscopic Plastic Surgery
• Advances, recent advances and current trends in Plastic Surgery
• Principles of surgical audit, understanding journal and review articles, text books and reference books, critical assessment of articles
• Research methodology and biostatistics
• Arteriovenous malformations, varicose veins, chronic venous insufficiency
• Meningomyelocoele, encephalocoele, spinal fusion defects, ventral defects, anorectal anomalies

Principal aspects of Plastic Surgery

• Skin
  • Anatomy and functions of skin
  • Diseases and other conditions affecting skin
  • Skin grafts, its take and behavior
  • Scars, unstable scars and scar contracture
  • Hypertrophic scars and Keloids
  • Flaps, anatomy and physiology, classification and applications
  • Pedicled skin flaps and tube pedicle
• Head and Neck
  • Embryology, anatomy, growth and development of face and facial skeleton
  • Structure and development of teeth
  • Temporomandibular joint and its dysfunction
  • Fractures of facial skeleton, management, sequel and subsequent surgery
  • Reconstruction of ear, eyelid, lip, nose, cheek and soft tissues of face
  • Congenital deformities of face and syndromes
  • Cleft lip and palate, embryogenesis, management, orthodontics, velopharyngeal incompetence and speech therapy
  • Craniofacial abnormalities, clefts, syndromes, microsomia, synostosis and hypertelorism Ptosis of eyelids
  • Facial Paralysis
  • Orthognathic surgery
  • Surgery of neck associated with congenital and acquired deformities
  • Rhinoplasty – corrective, aesthetic and reconstructive
  • Benign and malignant lesions and tumors of head and neck, tumor biology, management including chemotherapy, adjuvant therapy and radiotherapy
  • Reconstruction of mandible, maxilla and other bony defects
  • Prosthetic rehabilitation
  • Reconstruction of upper aerodigestive system
• Trunk
  • Congenital and acquired defects of thorax and abdomen and its reconstruction
  • Decubitus ulcers and its management
  • Breast, anatomy, physiology, growth, development hormone influence, abnormalities, diseases, surgery and reconstruction, Gynecomastia
  • Reconstruction of full thickness defects of thorax and abdomen
• Lower extremity
  • Anatomy and biomechanics of locomotor system
  • Functional anatomy of foot
  • Congenital and acquired deformities of lower extremity
  • Management of tissue defects following trauma
  • Lymphoedema
• Genitourinary
  • Embryology and anatomy of the male and female genitourinary system and genitalia, undescended testis
  • Hypospadias, epispadias and ectopia vesicae, urinary diversion
  • Reconstruction of external genitalia
  • Vaginoplasty
  • Intersex
  • Infertility, vasectomy, tuboplasty, reconstruction
• Hand
  • Embryology and anatomy of hand and upper extremity
  • Clinical examination of hand and general principles of hand surgery
  • Acute hand injuries
  • Tendon injuries
  • Nerve injuries
  • Brachial plexus injuries
  • Fractures and dislocations of hand
  • Injuries and disorders of nail
  • Electro diagnostic tests
  • Ischemic conditions and vasospastic disorders
  • Nerve compression syndromes
  • Surgery of spastic and tetraplegic hand
  • Infections and diseases of hand and its management
  • Congenital abnormalities of hand and its management
  • Tendon transfers
  • Lymphoedema
  • Benign and malignant tumors of hand
  • Rehabilitation of hand, physiotherapy, occupation therapy, splintage and prosthesis
  • Rheumatoid arthritis
  • Vascular malformations, tumors
  • Reconstruction of thumb
  • Reconstruction of mutilated hand
  • Innervated flaps
• Micro-surgery
  • Principles of micro-surgery, micro vascular surgery and its applications
  • Replantations and revascularization surgery
  • Microvascular tissue transfer
• Burns
  • Thermal, Electrical, Chemical, Radiation, Burns
  • Burns shock, Pathophysiology, treatment, wound care, nutrition, sequel
  • Post burn contractures, deformities and its management
  • Tangential excision, skin cover, allograft, homograft, xenograft and its application in burns
  • Planning for burns care in disaster
  • Organization of Burns care unit
  • Rehabilitation following burns, psychological and social impact
• Aesthetic Surgery
  • Chemical peeling, dermabrasion, laser treatment
  • Blepharoplasty
  • Surgery of ageing face
  • Body contouring, liposuction, abdominoplasty, hernioplasty
  • Reduction and augmentation mammoplasty
  • Hair transplant
  • Orthognathic aesthetic surgery