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Plastic Surgery

Microsurgery

Microsurgery involves the use of an operating microscope to assist in a variety of reconstructive procedures. High magnification makes it possible Microsurgeryto precisely sew tiny blood vessels and nerves with sutures and needles finer than human hair.  In addition to repairing damaged nerves and arteries, it is also possible to perform complex reconstructive procedures by moving skin, muscle, nerves, intestine, and/or bone from one part of the body to another. By using the microscope, the surgeon reconnects the blood vessels and nerves to the transferred tissues. This technique may be particularly helpful when a large wound is present that cannot be closed with nearby tissues or simple skin grafting.

Microsurgery may be useful in the following situations:

Post-traumatic Reconstruction
  • Nerve repair
  • Replantation of amputated finger,
    hand, toe, foot, ear, scalp. lip
Post-burn Reconstruction
  • Skin flaps
  • Muscle flaps
Reconstruction Following Cancer Surgery
  • Breast surgery
    • Free TRAM (transverse rectus abdominis myocutaneous) flap
    • Free gluteus (buttock) flap
  • Head and neck surgery
    • Radial forearm fasciocutaeous (skin and fascia) flap
    • Muscle flaps
    • Free fibula (bone) for jaw reconstruction
    • Free jejunum (intestine) for throat reconstruction
  • Bone and soft tissue tumors
    • Muscle flaps for limb salvage
Chronic Wounds
  • Radiation wounds
    • Muscle flaps
  • Osteomyelitis (chronic bone infection)
    • Muscle flaps
  • Diabetic foot ulcers
    • Muscle flaps
  • Venous stasis ulcers
    • Muscle flaps
    • Fasciocutaneous flaps
Muscle Paralysis
  • Facial reanimation
  • Nerve grafting
  • Innervated muscle transfer
Complex Wounds
  • Combination skin and muscle flap
  • Combination skin, muscle, and bone flap
  • Combination muscle and bone flap
  • Prefabricated flaps (stage reconstruction in which the tissue is tailored prior to transfer to the reconstruction site)
 
Inpatient Facilities:
Hospital University of Pennsylvania (HUP)
 
Office Visit Locations:
Perelman Center for Advanced Medicine
 
Making an Office Visit Appointment:
1-800-789-PENN (HUP)
 
Dr. Scott Bartlett
Dr. Bartlett
 
Dr. Ben Chang
Dr. Chang
 
Dr. Joshua Fosnot
Dr. Fosnot
 
Dr. David Low
Dr. Low
 
Dr. Joseph Serletti
Dr. Serletti
 
Dr. Liza Wu
Dr. Wu
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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