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Surgical First Assistant

Location:
Palm Beach Gardens, FL
Posted:
April 10, 2017

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Resume:

Shree Kumar Tirunagari, M.B.B.S., M.S., M Ch.

* *. ***** **** ● Hobe Sound, FL 33455 ● Phone: 561-***-**** ● ***************@*****.*** Professional Experience Summary

● Experienced consultant surgeon in healthcare facilities at all levels of care for 25 years, included performing emergency and elective procedures in general surgery, laparoscopic surgery, plastic surgery, diabetic foot care, wound management - both acute and chronic, and teaching in hospitals.

● Held position as associate partner at Contours Plastic Surgery Centre.

● Involved in teaching and training post-graduate surgical residents as assistant professor in general and plastic surgery. Included being a preceptor and guide to surgical team composed of surgical assistants, technicians, and operating room staff for over ten years.

● Established diabetic foot clinics. Included streamlining work flow and implementation of protocols in identification, follow-up, and management of foot lesions with local social awareness programs and research.

● Owned and operated a 50-bed general hospital from 1996 to 2012 with emphasis on laparoscopic - general surgery.

Surgical Proficiency/Skills/Common Surgical Procedures

● Performed independently at self-owned healthcare facility as a primary consultant and at other hospitals attending surgeries with proficiency - both elective and emergent. Common procedures included:

● Acute Appendicitis - laparoscopic and open

● Laparoscopic cholecystectomy for acute and chronic infections and stone pathology

● Acute Abdomen - hollow viscus perforation, bowel obstructions, colostomies, resections and establishing continuity with bowel anastomosis, emergency diversions and closure

● Cellulitis and acutesoft tissue infections with impending gangrene for limb salvage and life saving procedures, fasciotomies, vacuum assisted closure (VAC), hyperbaric oxygen therapy, wound care - acute and chronic

● Drainage of abscesses - deep and superficial and management of sepsis, coordinating care with specialists' team and critical care specialists

● Neck Surgery - included subtotal, hemi-thyroidectomy, cervical lymph node excisions, and lump excisions

● Perianal Surgery - haemorrhoidectomy, surgery for fissure and fistula-in-ano, abscesses - ischio-rectal, perianal, etc

● Pilonidal disease with wide excision and flap cover

● Breast Procedures - lump - aesthetic excisions, quandrantectomy, peripartum breast abscess, chronic infections, abnormal nipple discharge evaluation and management, mastectomies with axillary clearance and subsequent reconstructions

● Vasectomy - scrotal and testicular surgeries

● Paediatric Surgery - hernia, hypospadias correcton, laparoscopic appendicectomy, acute torsion of testes, undesended testes - orchidectomy/orchidopexy

● Emergency/elective lower segment caesarian section, hysterectomy - laparoscopic and open- both subtotal and total. Acute gynecological conditions - twisted ovarian cyst, acute salpingitis and pelvic abscess drainage

● Vaginal Disease - vulvar lesions, acute infections, abscesses, filarial lesions, postpartum cervical and vaginal injury with partial and complete tears, rectopexy, vaginoplasty, labiaplasty, rectovaginal fistula

● Hernia surgery - open and laparoscopic, inguinal, incisional, femoral, hiatal, recurrent hernia repair with stoppas preperitoneal procedure Page 1 of 3

Surgical Proficiency/Skills/Common Surgical Procedures Continued

● Vein Surgery - varicose vein surgery

● Nerve Decompression Surgery - carpal tunnel, tarsal tunnel as a part of limb renervation in diabetes

● Abdominal wall and truck contouring - abdominoplasty, lipo-abdominaplasty, liposuction, post bariatric body contouring, post natal abdominal and truck reshaping

● Nose - rhinoplasty open and closed, augmentation, reduction, tip plasty

● Chronic Wound Management - optimisation, wound preparation, resurfacing by skin grafts, local flaps and rehabilitation

● Trauma - acute wounds, soft tissue injury, compartment syndrome, neurovascular injuries and fascio- maximmary injuries, hand injuries

● Burns - acute burn management, management of post burn deformity - correction Observorships

Work Experience/Accomplishments

General & Laparoscopic

● Performed over 2000 general surgery procedures and over 1500 laparoscopic surgery procedures. Plastic Surgery

● Worked as first assistant to the primary surgeon, Dr. A. Gopalakrishna, in over 1000 cleft deformity correction procedures in the Cleft Lip and Palate Smile Program at Deccan Medical College.

● Managed over 300 cases of acute burns and performed as primary surgeon in over 200 post burn corrective surgery procedures and assisted in over 500 such procedures.

● Performed over 300 lipo - abdominoplasties, 300 rhinoplasty, and over 100 breast procedures - augmentation and reduction, brachyplasty, nipple corrections as well as minor procedures - excisions, local and wide, scars-revision, resurfacing, excision, moles, skin cancers - wide excisions and cover, and other dermatological procedures as an associate partner at Contours Plastic Surgery Centre. Diabetic Foot and Wound Care

● Established and managed Diabetic Foot and Chronic Wound Care Clinic. Performed emergency, elective and preventative surgery to preserve and protect the feet and maintain ulcer free. Drastic reduction in amputation rate and increased limb salvage with walkable feet. Presented a paper on VAC use in diabetic foot wounds and conducted a study on the use of Posterior Tibial Nerve Neurolysis in re-establishing sensation in diabetic feet.

Pacemaker Placement (Cardiology Partners PL - Dr. Amarnath Vedere), Jun - Aug 2016 - FL, USA Bariatric Surgery (Northwest Medical Centre - Dr. Paul Wizman), July 2012 - FL, USA Plastic Surgery (Palm Beach Gardens Medical Center - Dr. Daniel Kapp), April 2012 - FL, USA Diabetic Foot Clinic (Kings College - Dr. M.E. Edmonds), June 2005 - London, UK Surgical Nutrition (Mount Sinai Hospital - Dr. Jason Bodzin), Jan 1996 - Michigan, USA Page 2 of 3

Clinical Positions

2015 - 2016 Senior Consultation Surgeon

Yashoda Group of Hospitals, Hyderabad, India

2012 - 2016 Associate Partner

Contours Plastic Surgery, Hyderabad, India

2012 - 2015 Assistant Professor

Deccan Medical College, Hyderabad, India

2002 - 2008 Consultant Surgeon and Postgraduate Guide Durgabai Deshmukh Hospital, Hyderabad, India

2005 - 2008 Consultant Surgeon and Assistant Professor Mediciti Hospital and Medical College, Hyderabad, India 1995 - 2016 Consultant Surgeon

Mahavir Hospital, Hyderabad, India

Education

Certifications

Memberships

● Indian Medical Association - Life Member - AP/5941/21/572/45935/95-96/L

● National Academy of Burns - Life Member - T 025 - LF - 2010 -880

● Research Society for the Study of Diabetes in India - RSSDI - Life Member - 4416 2011 M Ch, Master in Chirurgerie (Plastic Surgery), NTR University, India 1993 MS, Master of Surgery, Gulbarga University, India 1986 MBBS, Bachelors in Medicine and Science, Osmania University, India 2017 BLS/ACLS - Certified

2016 SA -C American Board of Surgical Assistants (ABSA) - Certificate # 16-543 2017 National Provider Identifier (NPI) number: 192******* Taxonomy Code: 246ZC0007

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