In Bridgeport, New Haven, Norwalk, Fairfield, Stamford and surrounding areas in Connecticut
Microsurgery is a relatively recent advance in surgery that involves the transfer of tissue from one part of the body to another part of the body. It involves a highly specialized skill set that involves sewing together very small blood vessels or nerves that can be less than 3 or 4 millimeters in diameter. Microsurgery demands both an exceptional knowledge of anatomy and a creative approach due to the complexity of these wounds.
Who can Benefit from Microsurgery?
Patients might require microsurgery to repair tissue after trauma, restore body form after cancer, correct a genetic defect, or to reattach a limb or finger amputated by trauma. Free flaps, or free tissue transfer, utilizing microsurgical techniques are sometimes the “last ditch” effort to salvage a limb or reconstruct a breast with autologous tissue, tissue that comes from the patient. Frequently, these wounds have failed treatment by other conventional means. Therefore, microsurgery and free flaps are necessary to provide rapid wound closure or even treat underlying infections such as osteomyelitis, or bone infections. These techniques may be needed to replace the missing parts of a wound with other tissue that provide form and function. Free flaps or other flaps may be needed to provide stable and rapid coverage to any wound.
How is Microsurgery Performed?
Microsurgeries are technically demanding and often require many hours in the operating room. Because surgeons are often working with small blood vessels and nerves, a specialized microscope is used for better visualization. A set of techniques are then used depending on the specific case but might include blood vessel repair, vein grafting, nerve repair, and nerve grafting. The most frequently performed microsurgery procedures are:
- Replantation: After amputation, the limb or finger is prepared for reattachment, blood vessels are connected, and the tendons, soft tissue, and nerves are repaired to restore function.
- Transplantation: When an amputated part cannot be reattached, transplantation is used to acquire tissue from another part of the body to restore a missing part.
- Free Flaps: Free flaps involve transferring skin, muscle, fat, or bone to another part of the body that cannot be closed with a traditional skin graft or suture.
Why Choose Dr. Vasquez
Dr. Vasquez has trained at institutions that teach these highly sophisticated plastic surgical techniques such as Memorial-Sloan Kettering Cancer Center, Weill-Cornell Medical University, New York Presbyterian Hospital at Columbia University, Nassau University Medical Center, and the North Shore-LIJ University Health System. His specialized treatment offerings include, but not limited to:
- autologous breast reconstruction (TRAM, DIEP, latissimus dorsi, ALT flaps, etc.)
- free flaps (free TRAM, radial forearm, scapular, serratus anterior, fibula, perforator flaps such as ALT and DIEP flaps)
- digit replantation and toe to thumb transfers
- peripheral nerve repairs
- coverage of high risk wounds, exposed orthopedic hardware, or other vital structures
- other complex defects requiring a combination of various plastic surgical techniques, including free flaps, skin grafts, VAC therapy, etc.)