Microsurgery

Microsurgery is a set of surgical techniques performed under an operating microscope with instruments and sutures fine enough to join blood vessels, lymph vessels and nerves 1 to 3 millimetres wide or smaller. In plastic surgery it makes it possible to move living tissue from one part of the body to another (a free flap), to reattach amputated parts and to repair nerves.

It is a tool, not a single operation. It is used when simpler methods such as direct closure, skin grafts or local flaps cannot solve the problem, for example rebuilding a breast after mastectomy, covering exposed bone in the leg, reconstructing the jaw after cancer or restoring movement to a paralysed face.

Bedingungen, die dieser Service betreut

• Breast reconstruction after mastectomy using your own tissue
• Defects of the mouth, jaw, face or throat after head and neck cancer surgery
• Open leg fractures or chronic wounds with exposed bone, tendon or metalwork
• Amputated fingers, thumbs or hands, and devascularised limbs
• Nerve injuries of the hand, arm and brachial plexus
• Long-standing facial paralysis
• Lymphoedema of the arm or leg
• Bone loss needing a living bone graft, such as a fibula transfer

Tests, die Ihnen möglicherweise angeboten werden

• CT or MR angiography: Maps the blood vessels of the donor site, for example the abdominal perforators before a DIEP flap, and of the recipient area.
• Doppler ultrasound: Locates small perforating vessels at the bedside and is used after surgery to monitor flap circulation.
• Nerve conduction studies and EMG: Show which nerves and muscles are working and help time nerve repair or transfer.
• ICG fluorescence imaging: Checks blood flow in a flap during surgery and maps lymph channels in lymphoedema.
• General fitness assessment: Long operations require checks of heart, lungs, clotting and nutrition; smoking must stop beforehand.

Behandlungen verfügbar

• Free flap breast reconstruction (DIEP, PAP, TUG): Skin and fat from the abdomen or thigh rebuild the breast without an implant.
• Head and neck free flaps: Forearm, thigh or fibula flaps restore the tongue, jaw and facial skin after tumour removal.
• Limb salvage flaps: Muscle or skin flaps cover exposed bone and bring blood supply to help fractures and infection heal.
• Replantation and revascularisation: Emergency reattachment of amputated parts at the nearest capable hospital.
• Nerve repair, grafts and transfers: Restore feeling and movement after injury; results depend strongly on timing, ideally within months.
• Facial reanimation: Cross-face nerve grafts and free muscle transfer to restore a smile.
• Lymphatic microsurgery: Lymphaticovenous anastomosis and lymph node transfer.

Wann Sie eine Fachmeinung einholen sollten

• You have been told reconstruction needs tissue from another part of the body
• A wound with exposed bone or metal has not healed after weeks of dressings
• You want breast reconstruction without implants, or an implant reconstruction has failed
• A nerve injury has shown no recovery by 3 months
• You were offered amputation and want an opinion on limb salvage

Reisen nach Türkiye für diese Pflege

Planned reconstructions such as delayed breast reconstruction, facial reanimation or nerve transfers can be arranged on a visit, but allow for it: a free flap usually means 5 to 7 nights in hospital with close monitoring and 2 to 3 weeks in the country before flying. Many reconstructions need a second, smaller stage months later. Emergencies such as amputations or open fractures must be treated where they happen. Cancer reconstruction should be coordinated with your oncology team so that radiotherapy or chemotherapy is not delayed.

Senden Sie Ihre Berichte, Scans und eine kurze Geschichte und eine Clinic-Y Koordinator Antworten innerhalb von 24 Stunden mit geeigneten Teams und schriftlich, All-inclusive Vorschläge nebeneinander. Die Überprüfung Ihres Falls ist kostenlos.

Häufig gestellte Fragen