Name of Head of Department :
Prof Dr Jayan Man Shrestha
- Department introduction/description :
Department of Plastic surgery and burns is one of the specialized departments of Tribhuvan University Teaching Hospital run by group of faculty plastic surgeons from Maharajgunj Medical Campus, Institute of Medicine. Plastic surgery and burns services were started in this hospital in 1998. Initially these services were provided through Plastic Surgery and Burns unit under the Department of Surgery. With regular service, academics and research the work load of the unit gradually increased and Department of Plastic Surgery was established in 2016. During these 26 years, it has progressed significantly in terms of manpower, academics and clinical services. At present, the department provides wide range of clinical services to patients with Burn, trauma, cancer and congenital problems. It also performs various complex reconstructive surgeries and cosmetic surgeries regularly. The department is one of the reputed centers in the country to provide MCh training in plastic surgery. Besides training to MCh Plastic surgery residents, it is also providing regular teaching activities to MS General Surgery, MD Dermatology and MDS Maxillofacial residents and MBBS and BDSBDS students.
- Department vision, mission and goals :
The department is one of the oldest centers of the country for plastic reconstructive surgery and treatment of burn and hand injury patients. The department is recently performing various complex surgeries regularly that include Brachial plexus surgeries, free flap surgeries for oral cavity cancers, mandibular defects and lower limb trauma. The department is also working together with other departments including orthopedic surgery, Neurosurgery, ENT, maxillofacial surgery, Gynecology, GI surgery etc. to provide plastic reconstructive surgery and microvascular surgery services in combined operations.
Future plan is to strengthen and expand the subspecialty services of plastic surgery. We aim to develop subspecialty divisions that include craniofacial, Hand surgery, Trauma, Oncoplastic, cosmetic, Burns, Transplant (Limbs and Face), Lymphatic in near future.
We require number of faculties to be increased to achieve these goals. We also continue training to faculties, residents and nurses to accomplish these tasks. We aim to establish dedicated hand surgery center in the hospital and also start fellowship training in Hand surgery. We dream of establishing Burn center in the hospital that can provide comprehensive care of burn patients. Burn center should ideally be the one which has got its own ICU beds for treatment of critical patients, its own operation theatre, separate dressing room, separate shower room or bathroom for patients and staffs. This is very important because burn patients need frequent visit to Operation Theater for dressing changes under IV sedation, debridement and skin grafting. These patients tend to become critically ill any time and require to be shifted to ICU immediately. Besides these, we also need minor Operation Theater for performing minor plastic and hand surgery operations as day care surgeries or emergency cases.
- Department faculty members (Only MMC appointed faculty; Do not include hospital registrars):
| S.N. | Full Name | Designation | Full Academic Qualifications (Bachelor onwards) | Joined year | Remarks |
| 1 | Dr Ishwar Lohani | Professor | MBBS, MS, MCh (Plastic Surgery) | 2054/12/30 | |
| 2 | Dr Jayan Man Shrestha | Professor and HOD | MBBS, MS, FCPS (Plastic Surgery) | 2060/03/25 | |
| 3 | Dr Sangam Rayamajhi | Lecturer | MBBS, MS, MCh (Plastic Surgery) | 2073/06/11 | |
| 4 | Dr Samit Sharma | Lecturer | MBBS, MS, MCh (Plastic Surgery) | 2079/01/15 |
- Academic programs and students educated/trained each year / total
| Level | S.N. | Program name | Tick / Yes / No |
| Bachelor | 1 | MBBS | 100 |
| 2 | BDS | ||
| Masters | 3 | MS General Surgery | |
| 4 | MDS | ||
| 5 | MD Dermatology | ||
| Super-specialty | 6 | MCh Plastic Surgery | 4-6 |
- List of hospital clinical services provided and Number of patients served/treated
The followings are the list of services provided by the department:
- Acute burn management and burn reconstruction surgeries
- Wound management – pressure ulcers, chronic ulcers
- Cleft lip, cleft palate and craniofacial surgeries
- Facial plastic surgery including ear and nasal reconstructive surgeries
- Breast reconstruction surgeries after breast cancer and congenital disease
- Plastic reconstructive surgery for trauma, malignant diseases and congenital conditions
- Microsurgery (Free flap operations)
- Skin cancer management
- Head and Neck cancer surgery and reconstruction including oral cavity and mandibular reconstruction
- Facial paralysis surgeries
- Hand Surgery – hand trauma, tendon surgeries, peripheral nerve surgeries, congenital hand anomalies treatment, replantation, pollicization, toe transfer
- Brachial plexus surgery
- Cosmetic Surgery – blepharoplasty, rhinoplasty, facelift, browlift, breast augmentation and reduction, abdominoplasty, liposuction, fat grafting.
Department of plastic surgery audit summary 2080:
Total in-patient cases : 950
Total no. Of opd patients (new/old) : 4110 (2500/1610)
Total no of operated cases : 865
Major elective operation cases : 401
Minor elective operation cases : 264
Emergency cases attended : 597
No of emergency operation : 200
No. Of mortality : 03
Details of major cases:
Head and neck : 103
Chest and trunk : 35
Upper limb : 85
Pelvis and lower limb : 148
Burn : 20
Details of minor cases:
Head and neck : 164
Chest and trunk : 8
Upper limb : 69
Pelvis and lower limb : 19
- Research activities of the faculties/department
Research on Assessment of Orofacial Clefting in Nepal. Prof Trevor Williams / Ms Radha Kumari Shah – Principle investigators. Prof Ishwar Lohani / Prof Jayan Man Shrestha – Co-investigators from Department of Plastic Surgery and Burns, TUTH.………
- Number of publications by faculties/department
| Original articles | Review articles | Case reports | Newspaper | Online news | Total |
| – | – | 5 | – | – | 5 |
Training/Workshops/Conferences conducted by department
- CME on management of complex wounds 0n 17th January, 2024
- Training for Frontline Health workers on Primary Burn care on 3rd and 4th May 2024
- Workshop on Burn care in Kanti Childrens Hospital organized by Burn Violence survivors and Department of Plastic Surgery and Burns, TUTH.
- Involvement of Faculties in Basic Surgical Skills training by Department of Surgery
