In the microsurgery technique, in which surgical interventions are made for structures that are too small to be intervened in the human body with the naked eye, surgical interventions are performed using special operating microscopes and magnifying optical glasses. Thanks to the surgical instruments specially produced to eliminate the problems on micro-structures, the surgeon repairs the damage in structures such as vessels and nerves smaller than 1 mm. With the microsurgery technique, which is frequently applied by branches such as brain and neurosurgery, urology, ophthalmology and especially hand surgery, problems such as maintaining blood flow in the vessels, repairing injured vessels and nerves, congenital and acquired shape and function disorders are intervened. In addition, with the advancing surgical techniques and technology, significant developments have been made in the field of reconstructive microsurgery. Thanks to reconstructive microsurgery, in which the injured or deformed body parts are regained their normal shape, the severed body parts are combined and they are allowed to perform their normal functions. Thanks to microsurgery, the damaged nerve structures are repaired and treated in such a way as to restore their former functions by sutures as thin as a hair strand.
Contents
What is microsurgery?
What does microsurgery do?
What is reconstructive microsurgery?
What is the treatment method in microsurgery?
In which cases is microsurgery applied?
What is microsurgery?
In the microsurgery technique, in which glasses with a magnifying structure called loop, microscopes and very small instruments are used to perform surgeries that require precision, many invisible ailments are operated. The microsurgical technique, in which the post-operative recovery is also rapid due to the small incision in the skin and muscle, is applied to repair vascular and nerve injuries caused by work accidents, as well as to repair limb ruptures and restore their former function. With the microsurgery method, operations defined as free tissue transplantation can be performed, and vascular tissues taken from different parts of the body can be transplanted to areas with open wounds and tissue deficiencies. Extremity injuries, ruptures, organ transplants and tissue disorders due to organ cancers can be intervened by microsurgery, where operations such as transplanting the toe instead of the severed finger are possible. With the microsurgery method, which allows the loss of sensation and movement in the nerves that come out of the spinal cord known as peripheral nerves and extend to the ends of the limbs, functional nerves can be taken from their location and transferred to other regions. Thus, tissues and limbs that have lost their mobility and thus function can regain sensation and movement. In addition, incisions and fragments along the nerve can be repaired by microsurgery.
What does microsurgery do?
All tissues and organs in the human body need blood circulation and therefore oxygenation. In the event of an injury or a rupture of a limb as a result of an unexpected accident, the relevant tissue dies quickly because it cannot be fed. In addition, thanks to the nervous system that surrounds the whole body like blood vessels, sensory and motor functions are performed. In case of injury or damage to the nerves that allow the body to move and feel, dysfunctions and loss of sensation are experienced. In some cases, nerve damage that leads to permanent loss of movement leads to the inability to perform the desired movement. In such cases, all bone, tissue, vein and nerve parts can be repaired and reassembled with operations performed with microsurgery technique, or veins, nerves and bones taken from different parts of the body can be transferred to the relevant region to fulfill their function. Thanks to microsurgery operations that require a lot of precision and experience, sensory and motor losses can be restored. Thanks to the loop or microscope used, surgeons prevent loss of limbs or loss of function by repairing vessels and nerves with special hand tools on areas that cannot be seen with the naked eye. In addition to injuries caused by work and traffic accidents, congenital arm and leg anomalies, loss of shape and function due to crushing and burns can also be treated with microsurgery technique.
What is reconstructive microsurgery?
Thanks to reconstructive microsurgery, the completely severed limb or parts are brought back together and it is aimed to restore its normal function. In such cases, which are also defined as replantation, blood circulation is provided first. Then the nerves that provide sensory, motor and other functions are also repaired. Revascularization is the condition of re-circulation thanks to the vascular repair performed in cases that are not completely separated from the body but blood circulation cannot be provided. Amputation, or in other words, the complete separation of tissue or limb from the body, is seen due to work and traffic accidents. Especially in cases where hand and finger ruptures are experienced, the ability to suture the ruptured tissue correctly and functionally is related to the experience and microsurgery technique of the physician as well as the way the tissue is damaged. If the ruptured or ruptured vessel cannot be repaired with the correct microsurgical technique, the amputated body tissue loses its vitality, leading to irreversible loss of the tissue. In this type of accident and injury, the correct preservation of the part separated from the blood circulation is extremely important for the treatment to be carried out.
What is the treatment method in microsurgery?
Microsurgery technique is also used for repairing vital vessels and nerves as a result of accident or injury, suturing amputated body parts, and transferring the vascular structure taken from a different part of the body to a different place for tissue losses caused by accidents, burns and cancer. In order to repair nerve structures that cannot be seen or intervened and to suture tissues, surgeons use a special eyeglass or microscope called a loop to provide vision of the area to be intervened. Using surgical instruments specially produced for microsurgery, the surgeon repairs tissue losses in amputated, injured, damaged or cancer cases. Depending on the type of procedure performed, the priority in underarm nerve blockade or microsurgical interventions performed under general anesthesia is to preserve tissue vitality and to minimize loss of sensation and function. During amputated tissue operations that require long and patience, the surgeon first determines the bone structures. In some cases, it can shorten the bone structure so that the vascular and nerve structures can function comfortably. In microsurgical interventions in which the broken bone ends are combined with special screws and wires, vessel and tendon repairs are performed to ensure blood circulation. Finally, the nerve endings are repaired and the operation is completed. After the operation, a physical therapy and rehabilitation program is prepared for the patient by the physiotherapist in order to maximize the mobility.
In which cases is microsurgery applied?
Muscle and tissue injuries or losses
Thumb and trigger finger ruptures
Amputations of one or more fingers
Palm injuries and ruptures in this area
Amputations in the end joint of the fingers
hand break
crush
Fractures above the elbow
Amputations in children
The rupture of the tendons, known as an avulsion fracture, together with the attachment point on the bone
Tendon repair
Cuts in blood vessels and nerves
Injuries that require tendon and nerve transplantation
Treatment of ailments due to nerve compression in the hand or elbow
Transplanting the bone and the vessels that feed it to another part of the body
Transplantation of vascular tissue, muscle and skin to a different part of the body as a composite
Removal of existing tumors in the musculoskeletal system
Hospitals where the application is found:
Medical Park Batman
İ.A.Ü VM Medical Park Florya
Medical Park Gaziantep
Medical Park Izmir
VM Medical Park Pendik
VM Medical Park Mersin
Medical Park Silivri
Medical Park Bursa
Medical Park Ordu
VM Medical Park Samsun
İ.S.Ü. Medical Park Gaziosmanpasa
Altınbaş University Medical Park Bahçelievler
VM Medical Park Kocaeli
Medical Park Gebze
BAU Medical Park Goztepe