Microvascular grafting

In microvascular replantation and transplantation surgery, vascular repairs must be performed on undamaged vessels without tension. Meticulous inspection under the microscope will enable the microsurgeon to delineate th proper level of vascular débridement. The resultant defect, be it 2 or 20cm in length, can then be bridged with autogenous microvascular grafts. Forty-one microvascular grafts have been used on 17 patients, with survival of all but one transplant and replant.