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The Department of Reconstructive Microsurgery was formed in 2007 as a separate division of Plastic Surgery when Dr. Prashanth Varkey joined. The primary aim was to create a state of art Reconstructive Microsurgery service along with the already well established Burns, Cleft Lip and Palate Services. In order to develop specific areas in the broad arena of Plastic Surgery, Cleft lip and palate care became a dedicated facility under Charles Pinto Center for Cleft lip, Palate and Craniofacial Anomalies headed by Dr H.S.Adenwalla.

After an initial period of shared services, the division Reconstructive Microsurgery made its humble beginning with a 8 bed ward and also took over the management of Burns. The Burns unit underwent a restructuring in aesthetics and functionality getting it geared up to start work in Tissue Engineering. A make shift facility which functioned as Tissue engineering lab facility started adjacent to the Burns unit with the aim of developing affordable dermal substitutes and progressing to work toward bioengineering of human skin. The Bioengeering lab partnered with the Department of Meat Sciences at Government Veterinary College, Mannuthy to start work on gamma irradiated amniotic membrane as a scaffold for tissue engineering of human skin.

In 2013, our in-patient unit of JISHAM has been relocated to the second floor of Jubilee Hridyalaya. Currently our unit performs over 1100 operations per year with existing facilities.

The new burns unit remains in the same location and underwent changes in appearance and functionality. Acute burn care improved and early surgery in deep burns became the norm. Much of the long term morbidities in burns decreased. The staff here gained exposure in Tissue Engineering work. Our effort on Burn prevention took shape when we conceptualized and produced the first of its kind- BURN PREVENTION ANIMATION FILM . This was screened in public areas and in schools.

In 2009, due to the complex surgeries and multiple department involvement especially in the area of trauma reconstruction, Reconstructive Microsurgery received its dedicated Operation Room in the main operation theatre complex and also procured the Carl Zeiss Operating Microscope Over the years, the number of surgeries performed by this department increased and inpatient facilities were then shifted to a separate unit JISHAM (Jubilee Institute of Surgery for Hand, Aesthetic & Microsurgery). This unit was inaugurated on November 11, 2010.

In 2012, our unit achieved the distinction of becoming the first unit in our hospital and in the region to secure a Central government grant for the project on bioengineering of human skin. The same year witnessed the inauguration of our Jubilee Initiative on Tissue Engineering Research (JITER) by Professor Anthony Iorio, Vice Dean, Academic Affairs, New York College of Podiatric Medicine, USA.

Our Plastic Surgery team consists of talented plastic surgeons, registered nurses and Operation Theatre staff and our Hyperbaric Oxygen Therapy Technicians. The entire team plays an integral role in providing you with the highest quality care possible. Our Plastic Surgeons have been trained in the best institutions in this country and have complemented their skills through exprience gained by there work in Internationally reputed centres.

Plastic Surgery at Jubilee Mission Medical College is separated into two fields:

• Cleft Lip & Palate Surgery
• Reconstructive Microsurgery, Burn care & Hyperbaric Oxygen Therapy

The Reconstructive surgeons at JISHAM are not part of the Cleft Care team and this allows them dedicated focus on Complex surgeries in trauma, General Plastic Surgery including early tangential excision for Burns which often require long hours of work.

Our nurses are the primary contact for patients having surgery and help coordinate patient care. They are also a key source of emotional support, orienting you and your family to the department, answering questions and helping you manage your care.

Dr. Pradeoth Korambayil Mukundan
M.S. M.Ch. Plastic Surgery

Dr. Pradeoth KM, completed his graduation from Madurai Medical College. He completed his post graduation in surgery (MS) in Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh and superspeciality (MCh) in Plastic Surgery from Madras Medical College under the Tamilnadu Dr.MGR Medical University.He specializes in Reconstruction of complex trauma deformities and has also a keen interest in Hyperbaric Oxygen therapy and its applications in Plastic Surgery

Dr. Navien Issac John
M.S. M.Ch. Plastic Surgery

Dr. Navien Issac John is an Assistant Professor in the Department of Plastic Surgery and Burns, JMMC. He completed his graduation from Madras Medical College under the Tamilnadu Dr.MGR Medical University. He completed his post graduation in surgery (MS) in Kottayam Medical College, and superspeciality (MCh) in Plastic Surgery from Post Graduate Institute of Medical Education & Research (PGIMER Chandigarh). He is specializing in micro and reconstructive surgery, hand surgery, aesthetic surgery and craniomaxillofacial surgeries.

Dr. Prashanth Varkey Ambooken
M.S. M.Ch. Plastic Surgery

Fellow in Reconstructive Microsurgery( I-Shou Univeristy, Taiwan)

Dr. Prashanth Varkey completed his General Surgery & Plastic Surgery training at St.Johns Medical College, Bangalore. He further trained in Oncoplastic Reconstructive Surgery at Tata Memorial Hospital, Mumbai. He then completed international fellowships in Microvascular surgery from Taiwan and followed this with a Tissue Engineering Fellowship at National Cheng Kung University, Taiwan. He recieved training in Breast Reconstruction and Aesthetic Surgery at University of Udine, Italy. He has his training in Hyperbaric Medicine in Taiwan, Peru and in USA. He currently is the Executive Director representing India at the Asia Pacific Undersea and Hyperbaric Medical Society and has now been elected the Chairman of the Education Committee Asia Pacific Undersea and Hyperbaric Medical Society(APUHMS).

Dr.Prashanth’s interests are in the area of tissue engineering of human skin and also in the usage of Hyperbaric oxygen therapy in Wound Healing.

After Reconstructive Microsrugery began at Jubilee Mission Hospital in 2007, it remained a less known specaility and required some awareness creation. As Cleft lip and Palate Surgery was being developed as a speciality unit, the rest of the work encompassing most of Plastic Surgery was grouped under JISHAM - an acronym for Jubilee Institute of Surgery for HAND, AESTHETIC and MICROSURGERY. This unit was developed with a specific goal on improving quality of care. JISHAM presently is located on the second floor of Jubilee Hridyalaya. The unit has 20 beds and 9 deluxe rooms with the convenience of the Hyperbaric Unit being located wihtin the same floor. The outpatient clinic of this unit functions at Golden Jubilee Block - ground floor.

Surgery of the Hand and upper Extremity

• Upper limb tendon repair
• Upper limb nerve and artery repair
• ORIF hand fracture
• Soft tissues tumors
• Carpal tunnel release
• Dupuytren's contracture
• Congenital abnormalities of the hand & upper extremity
• Syndactyly and polydactyly correction

• Microvascular flaps and grafts
• Replantation and revascularization of the upper & lower extremities and digits
• Reconstruction of peripheral nerve injuries
• Reconstruction of peripheral nerve injuries
• Flap for lower limb trauma
• Free flap for head and neck reconstruction

• Liposuction
• Body contouring
• Facial contouring
• Breast augmentation
• Breast lift (mastopexy)
• Cosmetic rhinoplasty
• Breast reconstruction
• Breast reduction
• Fat grafting
• Prominent ear correction
• Scar revision and contracture release
• Resurfacing
• Mechanical dermabrasion
• Hair Transplantation

Soft -tissue reconstruction/ repair of facial trauma Cranio- Facio- maxillary reconstruction

Hand surgery deals with surgical and non-surgical treatment of problems in the hand or upper extremity including injury and infection. This Hand surgery unit is a surgical speciality practice, dedicated to provide state-of-the-art evaluation, treatment, and follow-up care to patients with problems of the upper extremity and hand.

In this Tertiary referral unit, we perform a wide variety of operations such as fracture repairs, releases, transfer and repairs of tendons and reconstruction of injuries and congenital defects

Plastic surgeons here are expertise to handle traumatic hand and digit amputations that require a "replant" operation (microsurgical reattachment of amputated digits and limbs)

Our team also perform microsurgical reconstruction of soft tissues and bone, nerve reconstruction, and surgery to improve function in paralysed upper limbs (Brachial plexus injuries)

Aesthetic surgery is a procedure that is performed on normal parts of the body with the purpose of improving a person’s appearance and/or removing signs of aging

Gynaecomastia is enlargement of male breast tissue. Surgically, male breast reduction involves the removal of excess fat, glandular tissue, and/or skin surrounding the breast area through excision or liposuction.

Abdominoplasty surgery, also known as tummy tuck, is a procedure in which the surgeon removes excess skin and fat from the abdominal areas. We offer our expertise & experience in plastic surgery for contouring the abdomen

Microsurgery is a surgery requiring an operating microscope. Developments in the field of plastic surgery now allow reconstruction of missing tissues by transferring a piece of tissue to the reconstruction site and reconnecting successively smaller blood vessels and nerves (typically 1 mm in diameter). Reconstructive Microsurgery in JISHAM has a dedicated team & operation room in the main operation theatre complex with Carl Zeiss Operating Microscope.

Revascularization is the restoration of perfusion to a body part or organ that has suffered ischemia following trauma [ Folder 1]

Free tissue transfer is vascular detachment of an isolated region of body (eg, skin, fat, muscle, bone) & transfer of that tissue to another region of the body by microvascular expertise [Folder 2]

Combined with our orthopaedic surgery team, we perform various procedures for soft tissue reconstruction of lower limb defects [ Folder 3]

The Hyperbaric Oxygen Therapy Center functions under the Jubilee Institute of Surgery for Hand Aesthetic & Microsurgery (JISHAM) and the Jubilee Burn Center. Our Hyperbaric Program provides treatment in a standard environment with a monoplace chamber. Hyperbaric oxygen therapy is administered in conjunction with the referring physicians/ surgeons plan of care. The standard of care has been established in accordance with the current guidelines of the Undersea and Hyperbaric Medical Society. Treatment duration is for 90 minutes per day. The patient may lie in a gentle comfortable inclined position inside the monoplace chamber and rest, watch television or movies. The number of treatments is patient specific, determined by the diagnosis and response to therapy. Continuous supervision and monitoring are provided by a highly trained and experienced staff of caring registered nurses.

Patients requiring hospitalization, particularly those with critical illness, will generally be admitted to the Jubilee Hriduyalya (Second floor) which has the inpatient facilities for patients undergoing Hyperbaric Oxygen therapy. Inpatients can choose from options of a common ward to individual private rooms.

Treatment will be coordinated by our professional staff in close collaboration with the referring physician. Our first treatment starts at 7:30 AM and the final treatment of the day begins at 4:30 PM to accommodate the busy schedules of our patients.

Patients breathe 100% oxygen in the chamber which is pressurized to two-to-three times normal atmospheric pressure. The physiological effects of treatment, which may be of significant benefit to your patient include:

The plasma carries as much oxygen as saturated hemoglobin with an arterial oxygen pressure of 1,500 to 2,000 mm Hg. This high concentration facilitates increased diffusion into surrounding tissues from perfused capillaries. This effect will last for several hours and can help in both acute and chronic disease.

The plasma carries as much oxygen as saturated hemoglobin with an arterial oxygen pressure of 1,500 to 2,000 mm Hg. This high concentration facilitates increased diffusion into surrounding tissues from perfused capillaries. This effect will last for several hours and can help in both acute and chronic disease.

Vasoconstriction is an immediate reflex response to the hyperoxygenation. Because the hyperoxia is so extreme, the decreased arterial inflow is not associated with hypoxia. There is however, an increase in net venous outflow from congested capillary beds. This change in flow facilitates the resolution of post injury edema, which can often obviate the need for fasciotomy in moderate compartment syndrome and facilitate wound healing.

Enrichment of ischemic chronic wounds facilitates macrophage and fibroblast function, with improved angiogenesis and fibroplasia. This effect is the basis of treatment of diabetic ulcers, radiation damaged tissue and refractory osteomyelitis.

High concentrations of oxygen enhances white blood cell phagocytosis and oxidative cell kill, as well as inhibiting and inactivating C. perfringens toxins.

We are proud to have a internationaly trained and certified team to render services in the Divison of Hyperbaric Oxygen therapy .

Our Knowledge of regenerative medicine and tissue engineered skin substitutes are utilized to develop artificial skin that completely replicate normal uninjured skin. Natural biopolymers such as collagen from amniotic membrane are being investigated as potential sources of biomaterial to which cells can attach. Our first generation dermal scaffolds development has drawbacks in terms of mechanical strength and degradation properties. We are working along with other groups that have developed synthetic degradable gels and nano spun films as a way to deliver cells and/or molecules in situ, the so-called smart matrix technology. Our work in this unit has won us a research grant from the ER & IPR directorate at DRDO. This project is in collaboration with the Department of Meat Sciences, Government Veterinary College, Thrissur

Ideas exchanged, experiences shared, and relationships developed to increase academic excellence and offer life-changing experiences that ignite leadership potential to bring us to levels where we can become leaders in our discipline of care

• O.P. Consultation @: Gate 2, Golden Jubilee Block, Plastic Surgery O.P.
• Dr. Pradeoth K M - Tuesday & Friday: 10.00 A.M. to 1.00 P.M.
• Dr Navien Issac John - Monday & Wednesday: 10.00 A.M. to 1.00 P.M.
• Dr Navien Issac John - Monday & Wednesday: 10.00 A.M. to 1.00 P.M.
• Dr Hemang A Sanghvi - Wednesday & Saturday:10.00 A.M. to 1.00 P.M.