Title: Microsurgery

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Table of Content

Abstract :
Microsurgery

Services and
treatments

Page No.

About Us
7

1. Abstract: Microsurgery

What is Microsurgery?
Microsurgery is a general term for surgery requiring an
operating microscope. The most obvious developments are to
allow successively smaller blood vessels and nerves (typically
1 mm in diameter) which have allowed transfer of tissue from one
part of the body to another and re-attachment of severed parts.
Initially contemporary reconstructive microsurgery was
successful using blood vessels Latter plastic surgeons ushered in
many new microsurgical innovations like the microsurgical
transplantation of the second toe to thumb followed by great toe
(big toe) to thumb was performed latter developed to reconstruct
head and neck cancer defects with living bone from the hip or the
fibula.

Microsurgical techniques used by specialties today, are such as:

Otolaryngologists (ear, nose, throat and head and neck surgeons)
do perform microsurgery on structures of the inner ear and the
vocal cords, General surgery, ophthalmology, orthopedic surgery,
gynecological surgery, otolaryngology, neurosurgery, oral and
maxillofacial surgery, plastic surgery, podiatric surgery and
pediatric surgery.

2. Services and Treatments

Free tissue transfer
Free tissue transfer is a surgical procedure done using
microsurgery. A region of "donor" tissue is selected that can
usually be a composite of several tissue types (e.g., skin, muscle,
fat, bone). These include the rectus abdominal muscle, fibula,
radial forearm bone and skin and lateral arm skin. The composite
tissue is transferred (moved as a free flap of tissue) to the region
on the patient requiring reconstruction (e.g., mandible after oral
cancer resection, breast after cancer resection, traumatic tissue
loss, congenital tissue absence).
Replantation
Replantation is the reattachment of a completely detached body
part. Generally replantation involves restoring blood flow through
arteries and veins, restoring the bony skeleton and connecting
tendons and nerves as required. Initially, this was defined in
terms of the amputated part alone. However, later, surgeons
specializing in replantation began to understand that survival of
the amputated piece which amputated pieces should and should
not be replanted.

Transplantation
Microsurgical techniques have developed in transplantation
research. Thus, microsurgery represents the link between surgery
and transplant immunological research. Microsurgery was also
important to develop new techniques of transplantation that
would be later performed in humans. In addition, it allows
reconstruction of small arteries in clinical organ transplantation
(e.g. accessory arteries in cadaver liver transplantation, polar
arteries in renal transplantation and in living liver donor
transplantation).
Treatment of infertility
Microsurgery has been used to treat several pathologic conditions
leading to infertility. Microsurgical treatment has been shown to
significantly improve fertility rate also in patients.
Lumbar microscopic Discectomy
Open Discectomy
Open discectomy is the most common surgical treatment for
ruptured or herniated discs of the lumbar spine. When the outer
wall of a disc, the annulus fibrosus, becomes weakened, it may
tear allowing the soft inner part of the disc, the nucleus pulposus,
to push its way out. This is called disc herniation, disc proplapse

or a slipped or bulging disc.

If back and leg pain does not respond to nonsurgical treatment

and continues for four to six weeks or longer, the physician may
prescribe diagnostic tests, such as X-ray imaging, MRI or a CT
scan, to verify the source of the pain. If a diagnosis of herniated
disc is confirmed, open discectomy may be recommended.

Spine surgery is undergoing a revolution in the way certain

surgeries are performed. Discectomies can now be performed
arthroscopically, through a smaller incision using specialized tools
with local anesthesia. In some simpler cases, this type of surgery
may be recommended. Open discectomy allows the surgeon the
greatest ability to see and explore the surgical site.
The Procedure
Open discectomy is usually performed under general anesthesia
the patient is unconscious and typically requires a one-day
hospital stay. It is performed while the patient is lying face down
or in a kneeling position and the surgeon makes an approximately
one-inch incision in the skin over the affected area of the spine.
Muscle tissue is removed from the bone (lamina) above and below
the affected disc and retractors holds the muscle and skin away

from the surgical site so the surgeon has a clear view of the
vertebrae and disc. In some cases bone and ligaments may have to
be removed for the surgeon to be able to visualize the lamina of
the vertebrae, disc and other surrounding structures, he or she
will remove the section of the disc from the disc. This is often
done under magnification. This is called a laminectomy or
laminotomy depending on how much bone is removed. No
material is used to replace the disc tissue that is removed. The
incision is then closed with sutures and the patient is taken to a
recovery room.

3. About Us

Kharghar Medicity Multispecialty Hospital has placed the

enormous & prominent place in the healthcare sector at the
prestigious location of Navi Mumbai locality Kharghar. We
serves our best efficiency in the multispecialty healthcare services
which significantly specialized in the super specialty services
which offers high end procedures in Neurology , Neurosurgery ,
Urology , Joint replacement , knee replacement surgeries and
many more.
We crucially provides following facilities likely:
Super Specialty Services
Cashless Facility
24 hours Services
Emergency services
Website : http://www.khargharmedicityhospital.com/