Microvascular Reconstructive Surgery

About Microsurgery:

A general category of surgery which requires the support of an operating microscope for the successful completion of the operation is known as microsurgery. These are critical operations (limb/life saving) which require high end expertise and training for success. This surgery is performed on micro structures of the human body like nerves as well as blood vessels, with use of specialized instrument like microscope.

Areas of Microsurgery and its purpose:

The procedures of micro surgery are conducted for those specific parts of body which can be visualized best under a microscope. The invention of these techniques of treatment was done during the early twentieth century. The same is practiced even for organ transplantation and blood vessel repair. But these are recruited under the conditions when the operation of the traditional vascular surgery seems impossible.

The major instrument of getting this surgery done is the microscope for the operating room. It magnifies the areas of the body to be operated and thereby enhances the precision for anastomosis of the blood vessels, nerves and other finer structures of the area. The doctors decide to go for this surgery when the patient is no responding to traditional surgeries like skin grafting, primary closure, local or regional flap transfer etc. It is one of the last resort surgeries.

But microsurgery is not always the best solution for all types of reconstructive dilemmas, and not the first preferred choice for any micro surgery specialist. It is actually a surgical art which offers the surgeon a most important tool for achieving the target of complex reconstruction by using the process of free tissue transfer from other parts of the human body. By free tissue transfer we mean to say:

  • Transfer of composite tissue
  • Isolated transfers
  • vascularized bone grafts
  • Transplantation of the toe
  • Free functioning muscle transfer

The benefit of microsurgery can be well understood when the same is used for the closure of the large defects on the face, limb or any other body part after the dissection of the tumor (or post traumatic tissue loss reconstruction) with process of free tissue transfer.

Micro Vascular Surgery:

This category of Microsurgery is done on very minute and small blood cells, which includes blood vessels which range from three to five millimeters in diameter. The instruments which are utilized in this surgery includes operating-room microscope, small needles having ultrafine sutures and other specialized instruments.

Micro Vascular Surgery is prominently used in the task of reattaching the amputated parts to the body, detached figures, arms as well as hands and fingers. It can involve neural repair as well to make the reconstructed part sensate as well as mobile, once again. This surgery is very critical and needs highest level of precision and perfection.

We specialise in the following micro-vascular surgery and free tissue transfer procedures:

  1. Post malignancy reconstruction of breast with the latest, state of the art, gold standard DIEP (Deep inferior epigastric perforator) flap as well as implant/LD flap, TDAP flap, lipofilling (fat grafting), TRAM and other flaps.
  1. Post malignancy reconstruction of head/face/neck with fibula, ALT, radial forearm and other flaps.
  1. Post traumatic reconstruction of limbs and other areas with fibula, ALT, radial forearm, TDAP and other flaps
  1. Hidradenitis suppurativa surgery with TDAP (Thoracodorsal artery perforator) flap (state-of-the-art permanent solution!)
  1. Arterio-venous fistula creation (radio-cephalic/brachio-cephalic) for hemodialysis patients
  1. Diabetic foot and ulcer management with flap surgeries and other modalities.

 

Apart from these, we also undertake reconstructive surgeries for:

  1. Cleft lip and palate
  2. Post burn scar contractures (neck/axilla/arms/hands/knees/feet)
  3. Non healing ulcers
  4. Carpal Tunnel Syndrome
  5. Cranio-facial fractures
  6. Tendon repairs
  7. Tissue expanders
  8. Keloids
  9. Tattoo removal
  10. Scar Removal
  11. Cleft/torn ear lobe repair

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