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Tissue death, before successful replantation of the severed areas, has been a major hindrance to the success of a surgery. The very goal of re- constructive microvascular surgery is to plant the tissues in the affected areas before it dies. Re- constructive and microvascular surgeries majorly focus on treating cancer of the head and neck but it also treats areas that include the larynx and pharynx, oral cavity, salivary glands, jaws, calvarium, sinuses, tongue, and skin.
Treatment of such cancer is vital as it can help improve a patient's quality of life. If the defect is minimal then the neck and head tissues can be used to heal the areas. However, in case of defects that are too large microvascular reconstruction is recommended where tissues from various body parts are utilised. This procedure can be done for any age group, however, not everyone is a potential candidate for this surgery. Before the procedure, the doctor will examine the patient's entire body to determine whether re- constructive and microvascular surgeries are suitable.
Procedure
The process begins with administering anaesthesia to the patient's body and making small cuts around the affected area. The doctor carefully investigates the area and chooses one from the several treatments available to cure the affected area, which includes the following,
Skin grafting
Soft tissue covers
Callus distraction
Tendon transfer
Local or musculocutaneous flaps
The basic idea of conducting a microvascular reconstruction is to cure affected areas of the neck and head by moving and utilising tissues from various body parts. Mainly tissues from arms, legs, or back are taken. Then the surgeon uses a special microscope, miniaturised instruments, and extremely delicate sutures to begin the reconstruction surgery. When the tissues are removed they require their blood supply so that they don't die. After the tissues are secured in the required areas of the neck and head, they are connected to appropriate blood vessels which ensure the survival of the tissues in the new location. The blood vessels are 1 to 3 millimeters in diameter making this a complicated procedure. Thus the surgeon takes the help of a microscope to connect them with new tissues, hence, the term “microvascular surgery.”
Immediately after the Re- constructive and Micro-vascular Surgeries in Hebbal, Bangalore, the area is bandaged to eradicate blood loss and a splint is fixed around the area to give support and ensure complete immobilisation for a faster recovery. The sutures can be removed within a week, after the surgery. One can resume a daily routine a day after the sutures are removed. The patient may face swelling and bruising surrounding the affected areas. However, these after-effects will gradually disappear within a few weeks. Book an appointment at Manipal Hospitals now to know more about treatments with the help of team of experts in Bangalore.
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