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Microvascular surgery in plastic surgery: free-tissue transfer.
1Department of Plastic Surgery, University of Tokyo Hospital, Tokyo, Japan.
Journal of Microsurgery
|November 1, 1979
Summary
Microvascular surgery enables successful reimplantation and transplantation. This review covers essential equipment, techniques for microvascular anastomoses, and clinical applications like flap transfers and toe-to-hand transplants.
Area of Science:
- Microsurgery
- Vascular Surgery
- Reconstructive Surgery
Background:
- Microvascular surgery has significantly advanced limb reimplantation and organ transplantation.
- Pioneering efforts have established the foundation for current complex reconstructive procedures.
Purpose of the Study:
- To review the historical progress and current state of microvascular surgery.
- To detail the surgical equipment and techniques for microvascular anastomoses.
- To discuss diverse clinical applications and present case examples.
Main Methods:
- Review of historical successes in microvascular surgery.
- Description of surgical equipment and techniques for microvascular anastomoses.
- Discussion of clinical applications including free flap transfers, omentum/muscle transfers, toe-to-hand transplantation, and vascularized bone grafts.
Main Results:
- Successful application of microvascular techniques in various reconstructive scenarios.
- Demonstration of feasibility for toe-to-hand transplantation and vascularized bone grafting.
- Illustrative case reports highlighting the efficacy of these procedures.
Conclusions:
- Microvascular surgery offers critical solutions for complex reconstructive challenges.
- The described techniques and applications represent significant advancements in patient care.
- Continued progress in microvascular surgery promises further improvements in outcomes.