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Microvascular Surgery...
Microvascular Surgery on very small blood vessels such as those only 1 to 3 millimeters in diameter. Microvascular surgery is done through an operating-room microscope using specialized instruments and tiny needles with ultrafine sutures. Microvascular surgery is used to reattach severed fingers, hands, arms, and another amputated parts to the body by reconnecting the small blood vessels and restoring the circulation before the tissue starts to die. Microvascular surgery also can be used in reconstructive surgery.Although microsurgery is used mostly in plastic surgery, microsurgical techniques are utilized by all specialties today, especially those involved in reconstructive surgery such as: general surgery, orthopedic surgery, gynecological surgery, otolaryngology, neurosurgery, maxillofacial surgery, and pediatric surgery.
Free Flap Surgery
A free flap could be a piece of skin, tissue and/or bone that's affected from one space of the body to a different. The free flap is employed to build the area wherever your surgery was done.

There area unit several places on your body where the doctor could take the free flap. Here area unit the common areas where a flap may be removed.
Types of Free Flaps
The type of free flap that will be used for your surgery is checked below.

Some types of free flaps need a skin graft. To do a skin graft, the doctor will take skin from another part of your body (usually the upper leg) to cover the area where the free flap was removed. Your doctor will tell you if this needs to be done.
What should I ex pect after free flap surgery?
  • You will be in the hospital so y our doctor can keep a close watch on the areas where you had surgery.
  • A special machine called a Doppler will be used to check and make sure the surgery area(s) are healthy.
  • Some free flap sites need a drain (small tube with bulb on the end) to be placed during surgery. This allows drainage from the site to help with healing. You doctor will decide when the drain can be removed.
  • You may need to take pain medicine after surgery. These drugs may slow the movement bowels. Your doctor may have you take a stool softener or other medicines to help your bowels move.
  • You will have a scar. All cuts made through the skin leave a scar, but most fade with time.
Arteriovenous Fistula
When a human kidneys fail, qualitative analysis is usually needed if transplantation can't be performed. qualitative analysis is performed exploitation the abdomen (peritoneal dialysis) or by filtering the blood. In turn, blood for filtration is obtained via a tubing or blood vessel fistula (AV fistula). Catheters is placed on short notice however have a brief usable life-span and area unit troublesome to worry for.

against this, a fistula needs surgery and can't be used till they heal, however will last for years. Your nephrologist has suggested haemodialysis via a surgically made Jewish calendar month fistula. many sorts of fistulas area unit potential, however it's best to use your own veins and arteries and keep as so much out on the arm as potential. the aim of today's visit is to debate the mechanics of surgery and to spot the most effective potential site(s) for fistula creation, likewise on discuss tentative plans for future fistulas.
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