Congenital Constriction Band
Constriction ring syndrome or Amniotic band syndrome occurs when fibrous bands of the amniotic sac get tangled around a developing fetus.
Constriction ring syndrome or Amniotic band syndrome occurs when fibrous bands of the amniotic sac (the lining inside the uterus that contains a fetus) get tangled around a developing fetus.
Most of the time, the bands wrap around an arm, leg, fingers, or toes of the developing baby in the uterus. These bands can cause serious constrictions, acting like a tight rubber band around the body part at birth. Deeper bands can cause serious swelling of the body part after the band. These bands can cut off the blood flow, or do not allow the body part to grow properly. It can lead to amputation of the part also in severe cases.
Most children with constriction band syndrome will have bands on more than one part of the body.
Hallmark of the constriction ring syndrome is that the anatomy before the level of constriction or amputation is normal.
Classification
- Simple constriction rings- partial & circumferential
- Constriction ring with distal deformity, with or without concomitant lymphedema
- Acrosyndactyly
- Amputations
Treatment of Constriction Ring Syndrome
If the child needs surgery, it is probably done when they are 1 year old or older. But if the constriction is limiting the blood flow, they might need emergency surgery.
- Under tourniquet control, constriction band must be dissected very carefully to avoid damaging the underlying neurovascular structures.
- When constriction band is circumferential, treatment is two staged correction approach. At the first operation, ½ of the band is excised and the other ½ is excised in next stage which is after 3 to 6 months. Closure is done with Triangular flaps, Z–plasty or W-plasty.
- Lymphedema when present, subsides within few weeks after the surgery
- Usually, immobilization of the part is required till sutures are mature.
- Patient is allowed to move the limb freely; no physiotherapy is required mostly.
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Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
MNAMS, FACS, FICS, FRCS (Edinburgh, UK)
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Frequently Asked Questions
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
Kayakriti Plastic Surgery & Dental Center
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
Phone No. +919695940009, +919695940006
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