Microvascular Surgery

Microvascular surgery is performed on very small blood vessels, typically 3 to 5 millimeters in diameter, using an operating microscope, specialized surgical instruments, and tiny needles with ultrafine sutures.

Microvascular surgery is used to reattach severed fingers, hands, arms, and another amputated parts to the body. This is done by reconnecting the small blood vessels, thus restoring circulation before the injured tissue begins to die. Microvascular is also used in reconstructive surgery. 

The transplanted healthy tissue from a distant site is called a "free flap". This healthy tissue is moved to the site of the wound where blood circulation is restored.

Free flap surgery is complex and technically challenging. It is ideally performed at centers of excellence such as UCSF, where the procedures are done in high volume and success, measured by patency rates, are very high.

Free flap procedures performed at UCSF include:

* Breast Reconstruction

* Superior and inferior gluteal flap

* TFL flap

* Ruben's flap

* Gracilis flap

* Trunk

* Abdomen and chest, typically large wounds caused by radiation therapy and cancer surgery

* Head and Neck Reconstruction

* Jaw or jawbone (mandible)

* Esophagus

* Scalp

* Cranial base

* Legs (Lower Extremities)

* Traumatic wounds

* Post-cancer surgery

* Salvage of amputation stumps

* Bony reconstruction

* Non-healing lower extremity ulcers secondary to diabetes

* Arterial or venous insufficiency

* Facial Re-Animation Surgery

* Restoration of the facial expression following nerve injury or cancer surgery

* Hand

* Wounds

* Digital replacement and reconstruction

* Transplantation of functioning muscle