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Joined: 03 Oct 2003
Posts: 641
Location: Toronto

PostPosted: Mon Apr 26, 2004 1:23 pm    Post subject: Microsurgery Reply with quote

I found the answer through my own PS!

Microsurgery/Free-Flap Surgery
Though success will largely depend on the extent of a patient's injury, flap surgery and microsurgery have vastly improved a plastic surgeon's ability to help a severely injured or disfigured patient. Using advanced techniques that often take many hours and may require the use of an operating microscope, plastic surgeons can now replant amputated fingers or transplant large sections of tissue, muscle or bone from one area of the body to another with the original blood supply in tact. A flap is a section of living tissue that carries its own blood supply and is moved from one area of the body to another. Flap surgery can restore form and function to areas of the body that have lost skin, fat, muscle movement and/or skeletal support. A local flap uses a piece of skin and underlying tissue that lie adjacent to the wound. The flap remains attached at one end so that it continues to be nourished by its original blood supply and is repositioned over the wounded area. A regional flap uses a section of tissue that is attached by a specific blood vessel. When the flap is lifted, it needs only a very narrow attachment to the original site to receive its nourishing blood supply from the tethered artery and vein.

With flap surgery, tissue, sometimes including underlying fat and muscle, is taken from the back and tunneled to the front of the chest wall to support the reconstructed breast. The transported tissue forms a flap to cover a breast implant, or it may provide enough bulk to form the breast mound without an implant.

A musculocutaneous flap, also called a muscle and skin flap, is used when the area to be covered needs more bulk and a more robust blood supply. Musculocutaneous flaps are often used in breast reconstruction to rebuild a breast after mastectomy. This type of flap remains "tethered" to its original blood supply. In a bone/soft tissue flap, bone, along with the overlying skin, is transferred to the wounded area, carrying its own blood supply.

For more information - go to www.drbendago.com
5'3" 122 lbs
BC Reconstruction Surgery
Left Breast - 375 Cohesive Round Mentor
Right Breast - 225 Cohesive Round Mentor
BA date: Monday, October 20, 2003

Dr. Bendago
#6 in the silicone photo gallery
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