Reconstructive Surgery
Dr. Sadik works with various specialties for a team approach to restore appearance, functionality and mobility.
Head and Neck Reconstruction
Together with the Head and Neck Surgeons (Otolaryngologists or ENT) and Neurosurgeons, we approach difficult cancers and traumatic injuries of the skull, facial bones and soft tissue. Methods used for restoring form are:
Skin grafts – a superficial portion of skin without blood supply taken to cover an open wound or defect
Bone grafts – bone taken without blood supply used to fill in a small defect in a bony region
Plating Systems – plates and screws made of titanium or a biodegradable material to stabilize bones or span a defect in the bone
Local/Regional Flaps – flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle or only muscle to gain soft tissue coverage in areas with severely damaged soft tissue or expected radiation.
Free Flaps (microsurgery) – flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle, skin/subcutaneous fat/ muscle/bone, or only muscle or only bone that are disconnected from their blood supply and reconnected to the blood vessels near the defect to be filled.
Breast Reconstruction
Dr. Sadik collaborates with Breast Surgeons and Oncology to help recreate the shape and appearance of a woman’s breast following a mastectomy.
Implant-Based Reconstruction – typically a staged procedure involving placement of a tissue expander to the desired breast mound size followed by an exchange to a permanent implant, either saline-filled or silicone filled. The recovery for this procedure is quicker, but the process of tissue expansion is lengthier and is partially determine by any other treatments that are needed (chemotherapy, etc.).
Autologous Reconstruction – use of your own tissue (skin, subcutaneous fat and/or muscle) to recreate the breast mound. Tissue is taken from either the back or abdomen. The recovery for these procedures are often lengthier, but with better long-term outcomes.
Chest Wall Reconstruction
Dr. Sadik collaborates with Cardiothoracic Surgeons to address sternal wound infections after open heart procedures and chest wall defects after cancer removal. Methods used for chest wall reconstruction are:
Local/Regional Flaps – flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle or only muscle or fat to gain soft tissue coverage in areas with severely damaged soft tissue or expected radiation.
Mesh – Biologic or alloplastic materials to span a defect or provide reinforcement along with soft tissue coverage.
Abdominal Wall Reconstruction
Dr. Sadik collaborates with the General Surgeons and Trauma Surgeons to address large ventral/incisional hernias, open abdominal wounds, defects after cancer resections and severe soft tissue infections.
Lower Extremity Reconstruction
Dr. Sadik has a strong relationship with the Orthopedic Surgeons to ensure patients with severe lower extremity traumas are able to have successful restoration of their limbs. Methods used for lower extremity reconstruction are:
Skin grafts – a superficial portion of skin without blood supply taken to cover an open wound or defect
Local/Regional Flaps – flaps consisting of muscle (Gastronemius, Soleus) to gain soft tissue coverage in areas with severely damaged soft tissue.
Free Flaps (microsurgery) – flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle, skin/subcutaneous fat/ muscle/bone, or only muscle or only bone that are disconnected from their blood supply and reconnected to the blood vessels near the defect to be filled.
Gynecology/Urology/Colorectal Reconstruction
Dr. Sadik collaborates with Obstetrics & Gynecology, Urology and Colorectal surgeons to address defects after cancer resections or severe soft tissue infections. Methods used for pelvic, vaginal or penile reconstruction are:
Skin grafts – a superficial portion of skin without blood supply taken to cover an open wound or defect
Local/Regional Flaps- flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle or only muscle to gain soft tissue coverage in areas with severely damaged soft tissue or expected radiation.
Free Flaps (microsurgery) – flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle, skin/subcutaneous fat/ muscle/bone, or only muscle or only bone that are disconnected from their blood supply and reconnected to the blood vessels near the defect to be filled.
Pressure Ulcer
Dr. Sadik collaborates with the Wound Center physicians, nutritionists, home care assistants and social workers to help those who have developed pressure ulcers. They are often seen in patients who have spinal cord injuries or are non-ambulatory. Many factors must be addressed for the resolution of pressure ulcers and once those are optimized, surgical reconstruction may be performed. Methods for pressure ulcer reconstruction are:
Skin grafts – a superficial portion of skin without blood supply taken to cover an open wound or defect
Local and Regional Flaps – flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle or only muscle to gain soft tissue coverage in areas with severely damaged soft tissue or expected radiation.
Free Flaps (microsurgery) – flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle, skin/subcutaneous fat/ muscle/bone, or only muscle or only bone that are disconnected from their blood supply and reconnected to the blood vessels near the defect to be filled.
