What is microsurgery?

Microsurgery is an advanced form of surgery requiring an operating microscope. Microsurgical instruments magnifies the operating field to provide surgeons with the utmost precision, as well as operate on structures barely visible to the naked eye.

Cases requiring microsurgery can be the most challenging in the area of plastic and reconstructive surgery, so it’s essential your doctor has obtained the necessary training and experience in microsurgery. Dr Chaithan Reddy has undergone extensive training and experience in all aspects of microsurgery. As well as reconstructive microsurgery for cases after cancer and trauma.

Reconstructive microsurgery

With the aid of a high-magnification microscope, our skilled surgeon, Dr Chaithan Reddy is able to use a patient’s own tissue to reconstruct parts of the body affected by disease, injury or a congenital disorder.

Microsurgery can be used to perform plastic or reconstructive surgery on the following areas:

  • Breasts
  • Ears
  • Nose
  • Scalps
  • Hands
  • Fingers
  • Tongues
  • Toes
  • Other small body parts

Reconstructive microsurgery procedure

After isolating tissue from one part of the body on an artery and vein, the surgeon can completely detach the tissue and transfer it elsewhere in the patient’s body for reconstruction. Usually referred to as a “free flap,” this tissue may be composed of skin, fat, muscle or even bone, or a combination of these structures.

Free tissue transfer is accomplished with the aid of a microscope that allows magnification up to 50 times that of the naked eye. Using stitches finer than a single hair, we are able to reconnect the tiny blood vessels from the free flap to recipient vessels in the area of the patient’s body affected by cancer. Because these blood vessels are very small, the microscope enables surgeons to work with precision, and to avoid complications such as clotting or kinking.

The process of using a patient’s own tissue with healthy blood flow promotes healing, reduces scarring and creates a more natural-appearing reconstruction. The technique also minimises damage to the area of the body where tissue is removed, providing optimal surgical results, faster recovery and decreased rates of complications.

Free flap

Tissue isolated on a vascular pedicle and transplanted from one part of the body to another. Also known as a microvascular transplant or free tissue transfer.

Free tissue transfer

Tissue isolated on a vascular pedicle and transplanted from one part of the body to another. The term is imprecise since it does not convey the necessity for microsurgery, and may imply moving tissue without vascular repair. For instance, a skin graft does not require microsurgery yet could be considered a free tissue transfer. A transfer implies moving from one place to another, such as index to thumb, but does not necessitate removal from the original location. A transplant on the other hand, reflects removal from the original location, and placement at another part of the body with vascular repair.

Reconstructive microsurgery aftercare

Following surgery, the patient is given intravenous fluids and usually progresses to a liquid diet within 12 to 24 hours, and a regular diet soon thereafter. The patient must be kept warm and adequately hydrated, and the surgical site elevated, if possible, to help drain excess fluids. Medications are administered to help manage pain. Skin should be pink and warm. Conversely, tissue that is pale or blue, cool may indicate a problem with blood flow. In this case you should contact our clinic as soon as you can.

Microsurgery Sydney

If you would like to find out further information regarding microsurgery or to book a consultation at The Plastic Surgery Clinic, please contact us today!