Surgery for Re-attaching Severed Body Parts

Micro-vascular surgeries are useful in reattaching severed body parts such as finger, hands, or arms by connecting the small blood vessels again and to make sure that the blood circulation is properly restored in the severed part as soon as possible to prevent the death of tissue due to lack of blood supply.

Micro-vascular surgery involves surgery on very minute blood vessels mostly those whose diameter is three to five millimeters. Micro-vascular surgeries mostly performed through an operating microscope which helps to enhance the visibility of the minute blood vessels that needs restoration and to manipulate the minute needles and sutures to fix the blood vessels.

When is micro-vascular surgery done?

Micro-vascular surgery helps people who have amputated body parts like fingers, hands or arms. This surgery needs to performed as soon as possible to prevent the death of tissue. With the help of microvascular surgery, the severed body parts can be reattached to the body and necessary care must be provided so that the reattached part becomes functional within a few months again.

Other than in emergency people who can undergo this surgery are:

• People suffering from certain diseases that cause deformity of the body parts such as cancers (know more about cancers)and other diseases that affect blood vessels, muscles or tissues.
• Congenital absence of tissues
• In people who have infertility caused by an obstruction in the major keyway.

Preoperative care

This surgery can either be performed as emergency surgery, but in cases where this surgery is not performed on an emergency basis must follow the following restrictions to promote speedy recovery:

• Avoid smoking
• Avoid excessive consumption of alcohol
• Take medicines as advised by the doctor

What to expect during the procedure?

This procedure is performed as soon as possible in cases of emergency followed by an X-ray to know the present condition.

For surgery, the patient is first administered general anesthesia. Since microvascular surgery is quite complex and performed under a microscope, the surgery takes around 12-15 hours to reconnect the blood vessels and cut the tissue damage.

Things to take care of post operation

The patient is on intravenous fluids for the next 12-24 hours post-surgery. The patient is not allowed to eat solid food for at least 2 days. Several imaging techniques are required to decide that the procedure was successfully performed.

The patient has to refrain from smoking and drinking alcohol as consumption of alcohol and smoking tobacco slows down the healing process and increases the chances of contracting the infection at the site of the surgery.

After the surgical wounds heal the patient must undergo physiotherapy to make sure that the reconstructed body part is functioning perfectly.

Postoperative complications

• Blood clots
• Allergy to anesthesia
• Embolism especially Pulmonary embolism
• Deep vein thrombosis
• Necrosis of the tissues
• Infection of the wound
• Delayed healing of the surgical wound.

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