Microsurgery – Paving way for advanced surgery procedures

Microsurgery is a procedure performed on delicate structures that require an operating microscope. The surgery allows the transfer of tissue from one part of the body to another and re-attachment of several parts in the body. They are performed in small and delicate structures such as vessels less than 1 mm size, nerves for example- Free tissue transfer is a microscope- assisted operation.
For the first time, the procedure was done in the 1970s and as of now, it has become a popular method for various reconstructive applications today. The main purpose of the microsurgery is to transplant tissue from one body to another. In addition, it also helps in healing wounds, along with restoration from cancer and trauma. The success of the procedure over the years has made microsurgery an essential procedure in plastic surgery.


Frequently performed microsurgery procedures

Experts perform Microsurgery on small parts of the body using a microscope. It can treat eye problems, damaged skin, muscles and tissues. Further, microscope-assisted operations can treat delicate structures in our body. The frequently performed microsurgery procedures include:
1.Replantation: This surgery reattaches the totally cut body parts such as finger, arm or foot. It is a time-consuming procedure as reconstruction depends upon the extent of the injury.
2.Transplantation: When tissue undergoes deformation because of the defect or an injury, transplantation surgery can remedy the situation. It can replace a missing finger or reconstruct bones.
3.Free-tissue transfer: Performed to reconstruct the damaged tissues, it is effective in healing burns and injuries and post-cancer defects reconstruction.
4.Vasectomy: Also called male sterilization, it extends permanent protection against pregnancy.

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Benefits of microsurgery

Microscope-assisted surgery or microsurgery is beneficial in multiple ways:
1.It is a very useful tool for intricate structures such as blood vessels and nerves whose diameter is less than 1mm.
2.this surgery is one has extended the limits of the reconstructions. so many defects which were previously cannot be reconstructed can now be formed and the organ loss can be prevented. has made impossible to possible and improved the life expectancy of cancer patients as now cancer surgeons can excise without fear of reconstructing it again. the quality of life has improved to a great extent.
5.Recovery time of these surgeries is usually much quicker as compared to other big surgeries.
6.These surgeries cause less bruising
7.It is a better option for health-conscious people.
8.Microsurgical treatments can improve the fertility rate significantly.
9.These surgeries improve abilities, function and qualities of life.
10.These operations heal the structures on the body undergone through congenital and developmental defects, trauma or disease and diabetic feet.
11.Highly useful in plastic surgeries and offers more techniques than ever before.

What are the possible risks and complications?

All surgeries involve complexity and skilful handling. Therefore, it is important for the patients to discuss the surgical procedure of the surgery and the associated risks with their surgeon in order to avoid any possible complications. Here is a quick look at the probable risks of undergoing a microsurgery procedure on your body:
1.Bleeding: It is common to have some minor bleeding. But, problems may occur when you bleed too much.
2.Flap congestion: This is a common complication of surgeries when arterial inflow is greater than venous outflow.
3.Skin loss or tissue necrosis: A form of cell injury, it may result in premature death of the living tissue by autolysis. the whole flap can be dead due to thrombosis of the repaired vessels.
4.Numbness: Impassiveness of or other changes in the skin.
5.Anaesthetic risks: Systematic complications associated with anaesthesia.
6.Hematoma: A localized swelling filled with blood, caused by a break in the wall of a blood vessel. The breakage may be spontaneous in various cases.


Is the future of microsurgery bright?

Due to its multifarious advantages, microsurgery is finding its use in almost every surgical speciality. The best results that it derives indicate its high future scope. Moreover, the increasing popularity of cosmetic surgeries and high prevalence of cancer is creating a huge demand for the microsurgical procedures.
The future of these micro-assisted operations is bright, as the cancer reconstruction is getting better from day today. The requirements of cosmetics are increasing due to the better life expectancy and the increasing disposable income of the patients. The great expansion of this market is due to its techniques and increasing application in cosmetic surgery, oncoplastic surgeries, faciomaxillary surgery, microvascular surgeries and many more.

Widespread market demand

The market shows a huge demand for these procedures as they involve minimal risks and complications for the patients. Moreover, the increased investment in research and development has attributed to the growth of the healthcare market. No wonder, the rapid technological advancement is aiding the development of healthcare sectors in the economy. Talking about microsurgery, the development of micro assisted operations has changed the scenario of healthcare and the patient’s quality of life exceptionally. An increased number of microsurgery procedures clearly shows the demand for these advanced surgeries among patients.

Dr. Tejinder Bhatti, Plastic Surgeon
Dr. Kulwant S Bhangoo, Plastic Surgeon

The information is being provided by and have no intention to replace the medical advice of your doctor. Please consult your doctor directly for advice about a specific medical condition. This document was last reviewed by Dr. Tejinder Bhatti, Plastic Surgeon on: 20-JUN-2020