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Doctors:

Plastic Surgeon

Dr. Milind S. Wagh
MBBS, MS, M.Ch (Plastic Surgery)

Consultant Plastic, Aesthetic & Reconstructive Surgeon
Face and Ear Reconstructive & Microsurgeon

(Academic)

Ex-Associate Professor in Plastic Surgery,
Department of Plastic, Aesthetic & Reconstructive Surgery,
Lokmanya Tilak Municipal General Hospital,Sion, Mumbai -- 400 022, INDIA.

(Attachments)

Bhatia General Hospital, Tardeo
Cumballa Hill Hospital and Research Centre, Cames Corner
Sujay Hospital, Vile Parle

NATIONALITY

INDIAN

DATE OF BIRTH

August 31, 1964

LANGUAGES

English, Marathi, Hindi, Konkani, Gujarati & Bangla

MMC REGISTRATION No.

MEDICAL EDUCATION

1992-1994

Bombay University,India
Lokmanya Tilak Municipal Medical College, Sion, Mumbai
M.Ch (Plastic Surgery)

1988-1991

Bombay University,India
Topiwala National Medical College, Bombay Central, Mumbai
M.S (General Surgery)

1982-1987

Bombay University,India
Topiwala National Medical College, Bombay Central, Mumbai
M.B.B.S

EXPERIENCE IN PLASTIC SURGERY

Jan 16, 1992 – Jun 22, 1994

(Teaching experience of 2 years and 6 months)

Resident in Plastic Surgery

Plastic Surgery Unit under Dr R.L.Thatte
L.T.M.G Hospital, Sion, Mumbai

Jun 23,1994 – Jan 31, 1997

(Teaching experience of 2 years and 7 months) Clinical Lecturer in Plastic Surgery
Plastic Surgery Unit under Dr R.L.Thatte
L.T.M.G Hospital, Sion, Mumbai

Feb 1, 1997 – Jan 31, 1998
(Teaching experience of 1 year)

Research/Clinical Fellow in Microsurgery,
Bernard O’Brien Institute of Microsurgery, Melbourne, Australia
( Director – Professor Wayne A. Morrison ) &
Clinical Assistant, Dept of Plastic Surgery,
St.Vincents’Group of Hospitals, Melbourne, Australia
( Chairman – Dr Allan McLeod )

Feb 1,1998– Oct 2, 2003


(Teaching experience of 5 yrs and 8 mths) Senior Clinical Lecturer in Plastic Surgery
Plastic Surgery Unit under Dr Mukund Jagannathan
L.T.M.G Hospital, Sion, Mumbai

Oct 3, 2003 to Dec 31, 2005
(Teaching experience of 2 years and 3 months)

Associate Professor in Plastic Surgery
Department of Plastic Surgery
L.T.M.G Hospital, Sion, Mumbai

NOTE

  1. Total Teaching experience in Plastic Surgery to the present date is 13 years and 9 months.
  2. Teacher for post-graduate students registered for M.Ch (Plastic Surgery) course of the Mumbai University since the last 9 years.
  3. Eligible as teacher for DNB (Plastic Surgery) course.
  4. Eligible to be Examiner for M.Ch (Plastic Surgery) University Examination from August 2005 term onwards.

PUBLICATIONS

  1. Identical unusual subtotal penile amputation in children: a report of four cases;
    Dr R. L. Thatte, Dr M. S. Wagh, Dr N.D. Kulkarni
    British Journal of Plastic Surgery (1993), 46, 535-537

  2. Congenital midline palatomandibular fusion with a mandibular cleft and a bifid tongue;
    Dr S Rao, Dr S.Oak, Dr M. Wagh, Dr B.K. Kulkarni
    British Journal of Plastic Surgery (1997), 50, 139-141

  3. Encyclopedia of Flaps, 2nd Ed., Lippincott-Raven Publishers, Philadelphia, 1998
    Editors: B. Strauch , L. Vasconez & E. Hall-Findlay,
    Chapter 441 (pg 1720-3) on “The Saphenous Venous Flap”
    Dr R .L .Thatte, Dr M. S. Wagh, Dr M.R. Thatte

  4. New source of vein graft for rabbit experimentation
    Tanaka Y, Crowe DM, Wagh M, Morrison WA
    Microsurgery 1999,19:4, 167-70

  5. The beneficial anti-inflammatory effect of dexamethasone administration prior to reperfusion
    on the viability of cold stored skin flaps.
    G Willemart, KR Knight, M Ayad, M Wagh, WA Morrison.
    International Journal of Tissue Reactions 1999, 21:3,71-8.


  6. Cold storage of rat skeletal muscle and pre-ischemic perfusion with modified UW solution"
    M Wagh, G Pantazi, R Romeo, JV Hurley, WA Morrison , KR Knight,
    Microsurgery 2000,20:7,343-9.

  7. Inducible nitric oxide synthase (iNOS) activity promotes ischaemic skin flap survival
    Kane AJ, Barker JE, Mitchell GM, Theile DR, Romeo R, Messina A, Wagh M, Fraulin FO,
    Morrison WA, Stewart AG
    British J of Pharmacology 2001, April 132:8, 1631-8.

  8. Successful free latissimus dorsi muscle flap for upper extremity cover in a pregnant patient
    at 14 weeks gestational age.
    Dr M.S.Wagh, Dr Manohar Velury,Dr Varun Dixit, Dr Bibhuti B. Nayak, Dr Mukund Jagannathan
    European Journal of Plastic Surgery, Vol 26:5, Sept 2003, Pg 268-70

  9. Bradycardia following temporomandibular joint ankylosis release
    Mukund Jagannathan, Bibhuti Nayak, Varun Dixit and Milind Wagh
    European Journal of Plastic Surgery, Vol 26:6, Nov 2003, Pg 324-325

  10. A prospective study of early postoperative complications in 400 consecutive
    operative procedures for cleft lip and palate correction.
    Dr M. S. Wagh, Dr R. L. Thatte
    Sent to British Journal of Plastic Surgery, January 2006 for publication.

  11. A single surgeon analysis of 60 cases of spaghetti wrist injuries in terms of recovery on a
    2 year follow-up”
    Dr M. WaghSent to British Journal of Plastic Surgery, February 2006 for publication.

CONFERENCES WHERE PAPERS PRESENTED

APSICON ’92
(Mumbai)

Annual National Conference of the Association of Plastic Surgeons of India Presented a free paper titled “A Review of five unusual cases of trauma in a large metropolitan general hospital ”.

APSICON ’93
(Bangalore)

Presented a free paper titled “Early Post-operative complications in Cleft Lip & Palate - A Prospective Study of 233 consecutive cases ” in the APSI Best Paper category.

APSICON ’94
(Lonavla)

1- Presented a Poster titled “Tongue flaps for the primary treatment of cleft palate -- Surgical technique”.
2- Member of Scientific Committee

APSICON ’95

Presented a free paper titled “McComb’s technique for the primary correction of the Cleft lip nose deformity - An appraisal”.

ISRM ’96

Biennial National Conference Of The Indian Society Of Reconstructive Microsurgery
Presented a free paper titled “Early Experiences in Elective and Emergency Microsurgery”.

APSICON ’96

Presented a free paper titled “Microsurgery - Early experiences and lessons”.

IOACON’98
(Jabalpur )

I) Presented Guest Lectures on

i)Free Muscle Flaps for cover of complex & composite soft tissue and bony defects”
ii) “Fasciocutaneous flaps for wound cover”
II) Guest faculty for Cadaver Dissection Workshop and demonstration of several versatile flaps

APSICON ’99
(Goa)

  1. A rare case of total face and scalp replantation following avulsion amputation.
  2. Revascularisations in penile amputations - A series of 3 cases.
  3. Free fascial flap for primary repair of a cleft palate.
  4. The first dorsal metacarpal artery flap – A series of 20 cases.
  5. MRSA, a menace in cardiac surgery : Flap cover for sternal dehiscence – The Hanuman Syndrome – A series of 25 cases.
  6. Emergency primary flaps - Wisdom or Folly.

II) Co-chairman of Godrej Visiting Professor Guest lecture Session
Guest Lecture by Professor Fu Chan Wei of Taiwan

III) Member of Scientific Committee

COMBINED CONGRESS’
2000
( Chennai )

Asian Pacific Federation of Societies for Surgery of the Hand, Indian Society for Surgery of the Hand (ISSH) & Indian Society for Reconstructive Microsurgery (ISRM)
i) Presented a free paper titled “A single surgeon analysis of 60 cases of spaghetti wrist injuries in terms of recovery on a 2 year follow-up”
ii) Co-Chairman of Guest Lectures Session

BAICON’2000

Conference of the Burns Association of India
Presented a Guest Lecture “Skin Cover for Wounds – A Plastic Surgeon’s perspective”

ISRM’2002
(Mumbai)

Biennial Conference Of The Indian Society Of Reconstructive Microsurgery
I) Presented free papers on
  1. Aesthetic considerations in free flap surgery: Failures & unacceptable results.
  2. Extremity salvage by free tissue transfer
  3. Free tissue transfer in pregnancy & considerations in peri-operative management.
II) Co-Chairman for Symposium on Difficult/Delayed Replantations
III) Member of Scientific Committee

RESEARCH WORK UNDERTAKEN AT BERNARD O’BRIEN INSTITUTE OF MICROSURGERY, MELBOURNE, AUSTRALIA: FEB 1997 – JAN 1998

  1. A project to study
    (i) a new epigastric flap model of Angiogenesis in mice with respect to the roles and effects of Nitric Oxide (NO) and Nitric Oxide Synthetase (NOS) on angiogenesis using wild type mice vs genetically manipulated iNOS knockout mice (ii) assess the effects of various NOS inhibitor drugs on this process.

  2. A microsurgical project in two different strains of rats (Dark Agouti as donors vs Lewis as recipients) to (i) study the possible induction of long-term donor-specific immunotolerance in osteoplastic orthotopic free vascularised knee allotransplants across a major histocompatibility barrier following short-term administration of a new combination of strong immmunosuppressant drugs and (ii) investigate the possibility of antigenic modulation and/or cell replacement in the surviving allografts by undertaking a second free vascularised knee transplant to a second Lewis recipient.

  3. A project on Ischemia-Reperfusion to study the effect of different periods of cold storage prior to revascularisation/replantation of FREE inferior epigastric skin flaps and FREE gastrocnemius muscle flaps in rats and assess the degree and reversible extent of Apoptosis in cold stored flaps.

  4. A study of the effect of arachnid envenomation with three types of spiders on rat epigastric flaps exposed to ischaemia as a second injury.

EXPERIENCE IN ANIMAL EXPERIMENTATION

FIELDS OF SPECIAL EXPERTISE

  1. Reconstructive Hand and Microsurgery AND Trauma Reconstruction

    • Free tissue transfers- emergency and elective
    • Replantations and revascularisations of amputated limbs and digits
    • Clinical applications and future possibilities in composite tissue allotransplantations for complex defects.
    • Expanded / Prefabricated free tissue transfer in functional reconstruction as well as aesthetic surgery.
    • Physiology and clinical applications of the process of controlled angiogenesis.
    • Congenital hand anomalies --- salvage of function & rehabilitation.
    • Functional reconstructions in post burns hand and extremity deformities.
    • Cosmetic rehabilitation using plastic surgery including tissue expansion, free tissue transfers & Prefabricated flaps in severe composite tissue losses in burns.
    • Complex post-traumatic hand injuries and reconstructions / rehabilitation.
    • Mechanics of tendon transfers in peripheral nerve injuries, brachial plexus injuries and post-infective palsies.
    • Functional and aesthetic reconstructive options in post- ablative defects in Head-Face-Neck tumours including composite free tissue transfers.

  2. Aesthetic Plastic Surgery

CURRENT ACADEMIC PROJECTS

  1. Cadaver dissection to elucidate the anatomy of the muscles of the palate with view to analysing the possibility of abnormal neuromuscular anatomy in cases of cleft palate.  
  2. Analysis of the recovery of neuromuscular function, especially return of ulnar/median intrinsic motors following extensive “spaghetti wrist” injuries in the hand – A single surgeon trial.  
  3. Comparison of different tendon transfers for intrinsic replacement in post-traumatic and post-Hansens’ median and ulnar nerve palsies.  
  4. Analysing the return of sensorimotor function following replantations in the upper extremity – A clinically graded & electrophysiologically assessed study with the assistance of the Dept of Occupational Therapy and Physiotherapy – A two surgeon trial.
  5. Comparison of the Reneurotization in Pedicled Flaps versus Sensate Free flaps.

FIELDS OF SPECIAL EXPERTISE

  1. Co-authoring a book on Plastic Surgery for undergraduates titled “Short Notes in Plastic Surgery”. 
  2. Co-authoring chapters on “Replantation of amputated limbs and digits” and on “Fasciocutaneous Flaps – Evolution & Development” in a Textbook of Plastic Surgery. 
  3. Preparing a database on hand injuries over a period of twelve years (1995-2006) in a major metropolitan trauma center. 
  4. Preparing a database of the patterns of maxillofacial trauma over the last decade (1995-2005) in a major metropolitan trauma center with the assistance of the Department of General Surgery.

ACADEMIC DISTINCTIONS AND AWARDS

Fellowship in Microsurgery

Fellowship of 1 year for advanced training in clinical microsurgery and microsurgical research successfully completed at St. Vincent’s Hospital, Melbourne, Australia & the Bernard O’Brien Institute of Microsurgery, Melbourne, Australia. (February 1997-January 1998)

M.Ch ( Plastic Surgery)

Second Rank among all candidates appearing at the Bombay University examination, May 1994

M.S ( General Surgery)

Second rank among candidates appearing from T.N.M College for the Bombay University examination, Jan 1991

III MBBS

First Class with Distinction in Surgery at the Bombay University examination, Oct 1986

II MBBS

First Class at the Bombay University examination, April 1985

I MBBS

First Class with Distinction in Anatomy at the Bombay University examination, Oct 1983

H.S.C

First Class with Distinction

I.C.S.E

First Class with Distinction ( First in Eastern Region)

PRIZES

HIGHLIGHTS IN PLASTIC SURGICAL & MICROSURGICAL CAREER AFTER RETURN FROM MELBOURNE, AUSTRALIA

  1. A total of 1279 cases of microneurovascular surgery have been operated at LTMG Hospital between Feb 1998- Dec 2005 by me or under my supervision. A success rate of 94 % (218 out of 232) for free flaps; 86 % (186 out of 215) for all replantations and 96% (185 out of 194) for revascularisations has been obtained thus far. These are the highest statistics for the city of Mumbai & the state of Maharashtra and are comparable to the best in the world.

  2. Personally performed 216 free tissue transfers (free flaps), 201 cases of extremity/hand/single or multiple digit replantations & 176 cases of extremity revascularisation between Feb 1998 – Dec 2005 at LTMG Hospital, Sion, Mumbai.

  3. As Microsurgery fellow at the O’Brien Institute of Microsurgery, Melbourne, Australia in 1997-98, I was an active member of the reconstructive microsurgical team under Professor Wayne A. Morrison in the marathon 25 hours long successful surgery to replant the completely avulsed scalp and face of a young 25 year old Australian girl. The case received wide favorable media attention in Australian as well as international newspapers and television. The team received personal felicitations from the Prime Minister of Australia, Mr. John Howard.

  4. Performed the first microvascular free fascial flap transfer for primary repair of a cleft palate in the world in October 1998 at LTMG Hospital, Sion, Mumbai. Since then, one more case has been successfully done.

  5. Performed the first clinical microvascular composite segmental tracheal reconstruction for complete cervical tracheal loss using a prefabricated radial artery forearm flap in the world in August 2000. This attempt was partially successful.

  6. Performed the first Emergency free flap surgery (within 6-8 hours of injury) in the history of Municipal / Public Hospitals in Mumbai in August 1998 at LTMG Hospital, Sion, Mumbai. Since then, forty nine (49) more emergency cases have been successfully performed.

  7. Performed the first microvascular 2nd toe transfer for reconstruction of an amputated thumb in the history of Municipal / Public Hospitals in Mumbai in February 1999. Since then, 8 more cases have been successfully carried out.

  8. Performed an extremely rare operation involving replantation of 4 amputated fingers of either hand,,i.e 8 fingers in March 2001…… 3 fingers of the Right hand and 2 fingers of the Left hand could be successfully replanted after a marathon 21 hours effort.

  9. University Teacher for M.Ch (Plastic Surgery) degree course of the University of Mumbai with one student per year since 1996. Eligible to be teacher for DNB (Plastic Surgery).

  10. Eligible to be examiner for University of Mumbai M.Ch Plastic Surgery examination from August 2005.

  11. On the teaching faculty of LTMG Hospital for the “Aayushdaan” programme of the hospital and the Bruhanmumbai Municipal Corporation for training batches of traffic police and firefighters in accident site evaluation, emergency resuscitation, extraction and transportation techniques for victims of traffic accidents.

  12. Invited to participate in the Impact India Foundation sponsored Cleft Lip surgery camp at Chiplun, Maharashtra on board the “Lifeline Express-The world’s first hospital on wheels”. A total of 37 cases of Unilateral & Bilateral Cleft Lip were operated in 3 days between 24th and 26th October 2001.

  13. Member of the Scientific Committee with total responsibility of framing and scheduling scientific programme for National Conference of Association of Plastic Surgeons of India on 2 occasions ---- APSICON’94 at Lonavla and APSICON’99 at Goa successfully carried out.

  14. Secretary of the Scientific Committee with total responsibility of framing, scheduling and executing the entire scientific programme of the 9th Congress of the Asian-Pacific section of the International Confederation for Plastic, Reconstructive and Aesthetic Surgery held in Mumbai in March 2005.

  15. Journal Reviewer of articles pertaining to Plastic & Reconstructive Surgery for the Indian Journal of Surgery and the Indian Journal of Plastic Surgery.

EXTRA-CURRICULAR ACTIVITIES & INTERESTS

EXPERIENCE IN PLASTIC & RECONSTRUCTIVE SURGERY

MAJOR SURGERIES/OPERATIONS PERFORMED
Aesthetic Surgeries

Microvascular Surgeries

Hand Surgeries


Cranio-Maxillo-Facial Surgeries & HFN Reconstructions


Cleft lip & Cleft palate surgeries


Flap Surgeries


Other major surgeries

MAJOR SURGERIES ASSISTED