Burns, Plastic and Maxillofacial Surgery

Introduction

Safdarjung Hospital burns unit is the largest burns unit of the world as far as patient turnover is concerned. The dept. was set up in 1962 as a separate department in the hospital under the charge of a Plastic Surgeon. It started as a regional centre for burns under the National Health Scheme by the Ministry of Health with a few beds which increased to 54 in 1977 to the current bed strength of 108. It is the only unit where all the ancillary facilities are available under one roof. It also has its own separate Casualty for burn patients where they are received directly. The dept. Is now in its 50th year of existence. It attracts patients not only from Delhi but also from adjoining states of U.P, Haryana, Rajasthan, Punjab, Himachal Pradesh, Uttaranchal Pradesh, M.P., and far off states like Bihar, Assam & J&K.

Location

The building is located opposite the Medical Record Section besides Blood Bank & CSSR Deptt.

OPD days

The dept. runs Burns, Plastic surgery & Maxillofacial surgery OPD on 6 days a week from 9.00 AM to 1.00PM.

Faculty Staff

The dept. provides comprehensive health care to patients suffering from burns or requiring Plastic surgery, reconstructive surgery, micro vascular or Maxillofacial surgery. There are 16 qualified full time Specialist and 34 Senior residents and 16 Junior residents besides other supportive staff.

Infrastructure 

OPD Rooms available

 

 

1

Plastic Surgery OPD  Room   1

2

Plastic Surgery OPD  Room   2

3

Plastic Surgery OPD  Room   3

4

Plastic Surgery OPD  Room   4

5

Maxillofacial OPD Room  9

6

Burn OPD room 1

7

Burn OPD room 2

 

 

 

No. of wards:      5 (Five including ICU)

ICU                     15 beds 

Ward 22 (HDU) -              17 beds

Ward 22A                            -              32 beds

Ward 23A ,                          -              24 beds

Ward 23B                            -              21 beds 

 Seminar room

                Space and facility:            Adequate

                Internet facility:         Present 

                Audiovisual equipment details:

Vectra Digi Presentation stand Compatible with AV system online and Offline

Brio Touch 85-inch Smart Interactive Touch Screen Panel 

Hitachi CP-EX402 Image Care Projector 

 

List of Department specific laboratories with important Equipment: 

 

Name of Laboratory

Size in square meter

List of important equipment available with total numbers

Adequate/ Inadequate

1

Skin Bank Lab 

 

 

Adequate

 

Skin Processing Room

35 sq m

1)Walk in Cold Room (7 x 4 feet)

 

 

 

 

2) DOPT incubator

 

 

 

 

3) Shaking Incubator 

 

 

 

 

4) Bio Safety Cabinet

 

 

Hravesting OT 

35 sq m

1 OT Table

 

 

 

 

2) OT light

 

 

 

 

3 Dermatome x2 

 

 

 

 

4) Humby s knife x 12

 

 

 

 

5) skin Mesher x 12

 

2

Biochemistry lab 

34 sq m 

Biochemistry Analyser x 2

 

Adequate

 

 

 

Hematology Analyser x 2

 

 

 

 

Electrolyte Analyser

 

 

 

 

Centrifuge X 3

 

 

 

 

Hot air Oven 

 

3

Microsurgery Lab 

30 sq. m 

Microscope x 2 

Adequate

 

Library facility pertaining to the Department/Speciality (Combined Departmental and Central Library data):

Particulars 

Details

Number of Books 

603

Total books purchased in the last three years (attach list as Annexure

24

Total Indian Journals available

2

Total Foreign Journals available

9

 

Internet Facility:                                               -                              Yes

Central Library Timing:                   -                              9 am to 9 pm

Central Reading Room Timing      -                              24 hrs / 7 days a week

Services

Hospital services

The department has total strength of 108 beds

ICU : 12 Beds

Disaster : 3 beds

Ward 22 : 17 beds

Ward 22-A : 32 beds

Ward 23-A : 22 beds

Ward 23-B : 22 beds

There is a dedicated casualty for burns in the department which runs 24 hours day and 365 days a year where burns patients are received directly and patients with maxillofacial trauma or limb trauma, requiring reconstruction referred from other casualties are also received. They are attended to by junior residents and senior resident doctor and nursing staff who are all posted in shifts. The departments thus provide round the clock back up for acute as well as chronic cases trauma and mass casualties. The dept provides surgical care for all cases related to burns, sequel burn as well as patients requiring reconstructive, plastic, aesthetic, maxillofacial and micro vascular surgery.

Intensive Care Unit

Consist of 12 beds for resuscitation of burns injuries. It is centrally air conditioned, all separate cubicles with each cubicles having gadgets to record Sp02, HR and ECG tracing with NIBP with vacuum / oxygen centrally supplied separately to each cubical. Each cubicle has independent operating light for minor/ bed side surgical procedure. Arterial blood gas analyser in the ICU for ABG, two ventilators are available round the clock for any patients requiring artificial ventilation. ICU is manned 24 resident manning the critical care units are trained in all intervention procedures.

Emergency Services

The department has its own causality for burns 24 hours a day and 365 days a year and looks after the acute burns trauma, soft tissue injuries of face and hand and other avulsion injuries.

Out patients dressing

The department has three separate dressing rooms for male, female and children. The dressing are done with all aseptic precaution by para medical personnel and dresser who wear gloves, masks and aprons.

Ward 22

17 bedded, separate cubical with oxygen / vacuum independently to each cubical. This ward is centrally air conditioned.

Ward 22-A

32 bedded centrally air conditioned for stable burns patients.

Ward 23-A/B

Plastic surgery ward 23-A & B has capacity of 22 beds for male and female patients respectively. Is Centrally air conditioned. Patients requiring any plastic surgery reconstructive/ cosmetic / micro vascular intervention are admitted and operated.

Operation Theatre

Separate operation theatres for plastic surgery and burn surgery, 3 Major operations and two for minor surgery.

Burns Theatre

One on ground floor with 2 suites – one for burns surgery and emergency surgeries.

Physiotherapy Section

Manned by two qualified physiotherapists. The department looks after the bed-ridden patients both burns and plastic surgery cases who are referred to this section for physiotherapy. Attendance is about 40-45 patients.

Diagnostic facilities

The department as its own clinical laboratory, designed for rapid Biochemical tests which functions between 9 a.m. to 4 p.m. for essential tests. It is equipped with - Automatic Blood Analyzer.

Haematological

Biochemistry

Easylyte Electrolyte

Faculty
Sr. No.NameDesignation
1Dr. Sujata SarabahiProfessor, Consultant & H.O.D.
2Dr. Shalabh KumarProfessor & Consultant
3Dr. Savita AroraProfessor & Consultant
4Dr. Deepak NandaProfessor & Consultant
5Dr. Harish Kumar SharmaProfessor & Consultant
6Dr. Upendra Kumar SharmaDirector Professor
7Dr. Durga KarkiDirector Professor
8Dr. Sunil SharmaDirector Professor
9Dr. Raman TandonDirector Professor
10Dr. Rakesh KainDirector Professor
11Dr. Piyush K. ThayalProfessor
12Dr. Gupta K. GauravProfessor
13Dr. Amrita MoreProfessor
14Dr. Deepti GuptaAssociate Professor
15Dr. Archana SinhaAssociate Professor
16Dr. Komal TripathiAssociate Professor
17Dr. GM BhardawajSenior Maxillofacial Surgeon


OPD schedule

Unit No.

Unit In-charge Name

OPD Room No./Consultant Name

Plastic Surgery OPD

Burns OPD

I

Dr. Shalabh Kumar

1. Dr. Shalabh Kumar

Monday

Thursday

2. Dr. Rakesh Kain

3. Dr. Piyush K Thayal

II

Dr. Sujata Sarabahi (H.O.D.) 

1. Dr. Sujata Sarabahi

Wednesday

Saturday

2. Dr. Gupta K Gaurav

3. Dr. Deepti Gupta

III

Dr. Harish Kumar Sharma

1. Dr. Harish Kumar Sharma

Thursday

Monday

2. Dr. Archana Sinha

IV

Dr. Savita Arora 

1. Dr. Savita Arora

Saturday

Wednesday

2. Dr. Raman Tandon

3. Dr. Komal Tripathi

V

Dr. Deepak Nanda

1. Dr. Deepak Nanda

Tuesday

Friday

2. Dr. Durga Karki

3. Dr. Sunil Sharma

VI

Dr. Upendra Kumar Sharma

Dr. Upendra Sharma

Friday

Tuesday

Dr. Amrita More

Sr. No.OPD roomsFloor
1Burns CasualtyGround Floor
2Burns OPDGround Floor
3Plastic Surgery O.P.DGround Floor
4Maxillofacial Surgery OPDGround Floor

Research & Publications

1. Dr. Sujata Sarabahi

a) Manuscript: IJPS-2023-9-11/R2 – (2400) – ‘Diya’ related burn injuries during Diwali

period: A 5 – Year retrospective review from a tertiary care hospital in India – Deepti

Gupta, Nemi Chand, Nupoor Nanavati, Aakash Chauhan, Sujata Sarabahi

 

b) An outcome analysis of fibrin sealant Vs staples for fixation of split thickness skin grafts

– Akshara Shuchi, Deepti Gupta, Sujata Sarabahi IJPS, DOI:10.1055/5-0043-1777867

 

c) Yadav D, Sharma AK, Tripathi K, Sarabahi S, Gupta A, Kale S, Gupta A. Effects of Photobiomodulation Adjunct Therapy via Superpulsed 904 nm Laser in Patients With Second-Degree Burns: Randomized Controlled Clinical Trial. J Biophotonics. 2025 Sep 24:e202500386. doi: 10.1002/jbio.202500386. Epub ahead of print. PMID: 40992752

 

2. Dr. Savita Arora

a) Long term outcomes of surgical management in adult mandibular condyle head

fractures with various osteosynthesis materials – a systematic review

 

3. Dr. Deepak Nanda

  1. Kumar RC, Nanda D, Bahirani P, Verma R, Jhansi G. A Rare Case of Neglected Posttraumatic Ulnar Artery Pseudoaneurysm in the Proximal Forearm: Surgical Challenges and Management. Indian J Vasc Endovasc Surg 0;0:0

 

  1. Kumar RC, Nanda D, Bahirani P, Rajaram D. Double Trouble: A Rare Case of Bilateral Arteriovenous Fistula Pseudoaneurysms in End‑stage Renal Disease. Indian J Vasc Endovasc Surg 0;0:0.

4. Dr. Upendra Kumar Sharma

  1. Role of ultrasound in management of postburn contracture of the extremities, Indian journal of burns, Aug 2025

5. Dr. Durga Karki

a) Samdyan R, Karki D, Chakrabarti S, Sharma T, Karki D. Serum lactate and base deficit as prognostic markers in acute burns patients. Ann Burns Fire Disasters. 2024 Dec 31;37(4):287-293.

Aggarwal N, Karki D, Gaind R, Matlani M, Muthukumar V. Serum procalcitonin and C-

reactive protein as induced of early sepsis and mortality in north Indian pediatric burn

injuries: a prospective evaluation and literature review. Acute & Critical care, 2024:

39(3): 350-358

 

  1.  Karki D, Pundeer S, Ratkal S, Sharma T, Bahirani P. Reconstruction of large electric

contact burn defects of neck in a tertiary burn center – a case series accepted in June

2024

 

  1. Karki, Durga; Dash, Suvashis; Muthukumar, Vamseedharan; Sharma, Tanima. Ear reconstruction: Novelty in drain placement.2025, Indian Journal of Burns 33(1):54-56 

 

  1. Ramakrishnaiah CK, Karki D, Bahirani P, Sharma S, Ravish S, Agrawal I. Early active mobilization after eight-strand flexor tendon repair using double-stranded sutures: Outcomes of a digitally supervised rehabilitation protocol in zones II–V. Ch J Plast Reconstr Surg. 2025 :7(4):203-208.

 

6. Dr. Sunil Sharma

  1. Sharma S, Kumar RC, Thayal PK, Bahirani P. Nonmedicated superabsorbent polymer pad versus      cotton Gamgee pad in partial‑thickness burns: A comparative study at a tertiary care center. Indian J Burns 2025

 

  1. Early Active Mobilisation Protocol following Six-strand Core Repair for Flexor Tendon Injury: A Prospective Observational Study

 

  1. Surgical Management of a Chronic High-flow Arteriovenous Fistula with Pseudoaneurysm and Nerve Entrapment after Failed Percutaneous Ligation: A Case Report

 

  1. Ramakrishnaiah CK, Karki D, Bahirani P, Sharma S, Ravish S, Agrawal I. Early active mobilization after eight-strand flexor tendon repair using double-stranded sutures: Outcomes of a digitally supervised rehabilitation protocol in zones II–V. Ch J Plast Reconstr Surg. 2025 :7(4):203-208.

7. Dr. Raman Tandon

a) Reddy DN, Tandon R, Tripathi K, Nemichand. Hatchet flap for distal fingertip

amputations. J Hand Microsurg. 2024 Jul 18;16 (4):100130. Doi:10.1016/j.jham.

2024.100130. PMID: 39234368; PMCID: PMC11369731.

 

b) Paper accepted for publication in Indian journal of burns on 16th January 2025. Manuscript ID ijb_24_ 25.

Title - Role of square flap in postburn finger contractual release a prospectus study on functional and aesthetic outcomes.

Authors Rohan Goyal, Raman Tandon, Komal Tripathi, Sugandh Gumber corresponding author Komal Tripathi.

8. Dr. Rakesh Kain

a) Extra-large dermatofibrosarcoma Protuberance of scalp-can it grow bigger? –

International Journal of Scientific Research Vol. 12 (Issue3) March 2024 DOI:

10:36106/ijsr (ISSN Number 2277-8179)

 

b) Custom spacer for mask ventilation in a challenging case of nasal vascular malformation,

Journal of Maxillofacial and Oral Surgery Dec – 2024, MAOS. D-24-00287RI (Open

access)

 

9. Dr. Piyush K Thayal

  1. Sharma S, Kumar RC, Thayal PK, Bahirani P. Nonmedicated superabsorbent polymer pad versus      cotton Gamgee pad in partial‑thickness burns: A comparative study at a tertiary care center. Indian J Burns 2025

10. Dr. Deepti Gupta

a) Manuscript: IJPS-2023-9-11/R2 – (2400) – ‘Diya’ related burn injuries during Diwali

                period: A 5 – Year retrospective review from a tertiary care hospital in India – Deepti

Gupta, Nemi Chand, Nupoor Nanavati, Aakash Chauhan, Sujata Sarabahi

 

  1. An outcome analysis of fibrin sealant Vs staples for fixation of split thickness skin grafts

– Akshara Shuchi, Deepti Gupta, Sujata Sarabahi IJPS, DOI:10.1055/5-0043-1777867

 

11. Dr. Komal Tripathi

a) Reddy DN, Tandon R, Tripathi K, Nemichand. Hatchet flap for distal fingertip

amputations. J Hand Microsurg. 2024 Jul 18;16 (4):100130. Doi:10.1016/j.jham.

2024.100130. PMID: 39234368; PMCID: PMC11369731.

 

b) Yadav D, Sharma AK, Tripathi K, Sarabahi S, Gupta A, Kale S, Gupta A. Effects of Photobiomodulation Adjunct Therapy via Superpulsed 904 nm Laser in Patients With Second-Degree Burns: Randomized Controlled Clinical Trial. J Biophotonics. 2025 Sep 24:e202500386. doi: 10.1002/jbio.202500386. Epub ahead of print. PMID: 40992752

c) Paper accepted for publication in Indian journal of burns on 16th January 2025. Manuscript ID ijb_24_ 25.

Title - Role of square flap in postburn finger contractual release a prospectus study on functional and aesthetic outcomes.

Authors Rohan Goyal, Raman Tandon, Komal Tripathi, Sugandh Gumber corresponding author Komal Tripathi.

Departmental activities in 2011-12

  • The department hosted a one day programme on National wound care project in collaboration with DFSI (Diabetic foot society of india) on 20th April 2011 which was attended by 100 residents and faculty from different departments of the hospital. It included lectures on different types wounds and live demonstration of use of wound care products in dressing of different wounds.
  • The department also hosted the first pilot project for NPPBI (National programme for prevention of burns injuries) under the Ministry of Health & Family Welfare for 15 days from 3 rd to 15th August 2011. Where in 18 doctors from different parts of the country received training on management of Burns and how to open and run a burns centre from very experienced faculty members of Safdarjang Hospital, Lok Nayak Hospital and, R.M.L hospital. There were two batches for six days course each.
  • The dept. also hosted the 20th annual National conference of Burns NABICON 2012 from 3rd to 5th February 2012. Dr. V.K. Tiwari was the president of NABI from 2011 - 2012. The conference was naugurated by his Excellency Dr. Abdul Kalam Azad, EX president of India. It included a half day live operative work shop from Safdarjang Hospital including management of some difficult Burn cases and two & half day rich interactive scientific session attended by over 250 delegates and 30 faculty members from all over the country and the world.
  • This was preceeded by a 1 day CME for training of nurses in burns under the chairmanship of Dr. Karoon Agrawal Head of the Department. This was attended by 200 delegates and lectures were given by both National and International faculties.
  • There were hands on workshop on technique of Botox injection conducted by Dr. Kuldeep Singh on 5th November 2011. There was another hand on workshop on carving of cartilage (Bovine) by the residents conducted by Dr. P.S Bhandari on 7th Jan 2012.

M.ch. – Plastic & Reconstructive Surgery

The Deptt. of Burns, Plastic & Maxillofacial Surgery has attained the national repute for teaching & training of medical & para medical personnels from different institutions in India & neighbouring states.

The deptt. is a now affiliated to Indraprastha University for imparting post doctoral (MCh) training in Plastic surgery for the past 2 years. This course is recognized by the Medical council of India. The duration of the course is 3 years after passing M.S in General surgery . Every year 10 candidates are admitted for the course. Admission is through entrance examination conducted by I.P. University every year in June. The teaching programme for MCH training is also conducted 5 to 6 days a week consisting of journal club, Seminars / Symposiums, Case planning sessions grand rounds, lecture programs from experts of the hospital and other institutions & research group meetings.

Observer ship training

Training of doctors interested in Burns from all over India & abroad is entertained on a regular basis.

Library

The deptt. has its own library containing about 50 books on Burns & Plastic surgery which are available to post graduate students.

Museum

The deptt. has its own pathology museum for teaching & research purposes. All interesting specimens obtained from operation theatre are mounted, labeled & kept in the museum.

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