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Microsurgery is a specialized field of plastic surgery requiring an operating microscope. It is a combination of magnification advanced microscopes and specialized precision tools. These techniques are primarily used to anastomose small blood vessels (arteries and veins) and to conapt nerves. Only certain surgeons offer this approach, and patients who are interested in this type of surgery can visit Dr. Francesco Gargano, plastic and reconstructive surgeon, for an expert opinion on microsurgery. With years of experience under his belt in the domain of Microsurgery, Dr. Gargano is very popular amongst his patients because of his extremely friendly behavior and his ability to make the most complex of surgeries into child’s play.
FRANCESCO GARGANO MD
BENEFITS OF MICROSURGERY
Any surgery is traumatic. Even when completed by the most experienced surgeon, the body being cut open is going to cause a level of discomfort. It is possible to reduce that trauma when completing surgery and making only tiny incisions, rather than cutting the body. Surgeries such as the laceration of the facial nerve in the cheek can be reconstructed by microsurgical repair of the cut nerve. Reconstruction of the arms that include requiring transplants can be done with the help of microsurgery by using cutaneous and fascio cutaneous free flaps. Breast cancer with the removal of the breast tissues can be reconstructed with microsurgical techniques.
The benefits are listed below:
- Precision and less aggressive reconstructive surgery
- Low infection risk
- Since the body is not entirely cut open, the risk of developing an infection is seriously reduced.
- Better outcomes
- A very important point to take into account is, when the procedure is performed in a less invasive manner, the discomfort or pain associated with the surgery is also going to be reduced.
HOW IS MICROSURGERY PERFORMED
Microsurgical procedures are executed on parts of the body that are best visualized under a microscope.
Below are the steps that are followed during microsurgery:
1 ) Anesthesia. Medicines are administered during the surgical process for the patient’s convenience and comfort.
2) Incision. Using microsurgery to transfer free tissue involves a donor site and recipient site.
3) Closure. Closing the incisions.
TYPES OF MICROSURGERY:
1) BLOOD VESSEL REPAIR: Blood vessel, or vascular anastomosis, is the connection of two cut or separate blood vessels to form a continuous channel.
2) VEIN GRAFTING: Vein grafting is an alternative procedure to the end-to-end anastomosis and may be pursued if cut ends of a blood vessel cannot be attached without tension
3) NERVE REPAIR. Neurorrhaphy, or nerve anastomosis, is the process of connecting two cut ends of a nerve.
4) NERVE GRAFTING. Using anastomosis techniques, a piece of nerve from another body part can be used to create a nerve graft that is stitched into place.
5) ANY PART OF THE BODY including breasts, craniofacial, limbs, and abdomen can be reconstructed using free flaps (body tissue harvested elsewhere and transferred to the defect to be reconstructed) anastomosed under the microscope.
Meet Dr. Gargano
Plastic & Reconstructive Surgeon, New York
Dr. Francesco Gargano has extensively trained around the world and is committed to healing through individualized care. He is certified by the American Board of Plastic Surgery and the European Board of Plastic Reconstructive and Aesthetic Surgery. He is also a member of the American Society of Plastic Surgeons (ASPS). Dr. Gargano received his medical degree from the Sapienza University of Rome in Italy, graduating magna cum laude. He continued his education at Sapienza University where he earned his PhD in Plastic Surgery, Human Anatomy and Dermatology, and completed his first residency in Plastic & Reconstructive Surgery.