Saving Limbs. Restoring Lives.
Advanced diabetic foot, trauma reconstruction & microsurgery care to help patients avoid amputation and regain independent walking.
Diabetic Foot & Hand Specialist
Dr. Apurva Agarwal
M.S., M.Ch. | Plastic & Reconstructive Surgeon
A Small Wound Can Become Amputation
Small Ulcer
Repeated Dressings
Infection
Gangrene
Amputation
Early Limb Salvage Can Prevent This
We understand your fear regarding limb salvage... There is still hope.
Are you diabetic and on dressings for a long time?
Are you tired of changing footwear without any improvement?
Are you confused between walking and no-walking advices?
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Healing a limb means healing a life.
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Let us help you move on independently - One step at a time.
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Preventive diabetic foot surgeries can prevent you from having gangrene.
"Wound healing is not our sole aim... we try our best for functional outcome so that patients can walk or work again."
Specialized Limb Salvage Center
Focused on functional recovery, tissue repair, and saving compromised limbs.
Limb Salvage Success Rate
Microsurgical Procedures
Years Clinical Experience
Visual Procedure Explanations
Understanding key advanced surgeries and biological mechanisms that make limb salvage possible.
Diabetic Foot & Internal Offloading
Instead of relying only on external plaster casts or custom boots, Internal Offloading reshapes or elongates tendons (like Achilles tendon lengthening) or removes small bone spurs beneath the ulcer. This permanently eliminates the high pressure points that caused the ulcer in the first place, allowing it to heal from inside out.
Limb Salvage vs Amputation
Amputation removes the limb completely, leading to phantom pain, loss of independence, and high mortality rates in diabetics. Limb Salvage aggressively cleans infected bone, restores blood flow via vascular bypass, and transfers healthy soft tissue (free flaps) to reconstruct the foot so the patient can stand and walk again.
AV Fistula (Dialysis Access)
For hemodialysis, high-rate blood access is critical. An Arteriovenous (AV) Fistula is created by surgically connecting an artery directly to a vein, usually in the arm. This causes the vein to thicken and enlarge over several weeks, providing a strong, durable access site that can withstand repeated dialysis needles.
Hand Reconstruction & Restoring Movement
Severe hand trauma can sever nerves, arteries, and tendons, causing paralysis. We use micro-sutures (thinner than hair) to reconnect microscopic blood vessels and nerves. Replanting severed fingers or transferring tendons restores the essential gripping function, returning patients to active work.
Why Patients Trust Dhimahi
Empathetic care combining clinical expertise with real functional outcomes.