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Specialization:
Microsurgical Reconstruction
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Consultant:
Dr. Dipmalya Chatterjee
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Focus Areas:
Free Tissue Transfer & Replantation
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Certifications:
Fellowship Trained Microsurgeon
Advanced Microvascular & Free Flap Reconstruction
Microvascular surgery represents the pinnacle of reconstructive plastic surgery, involving the transfer of living tissue from one part of the body to another while reconnecting blood vessels under microscopic magnification. This sophisticated technique allows for reconstruction of complex defects following trauma, cancer resection, or congenital abnormalities with tissues that closely match the recipient site in form and function.
Microsurgical Procedures
DIEP Flap Breast Reconstruction
Transfer of abdominal skin and fat without muscle sacrifice for natural-feeling breast reconstruction with minimal donor morbidity.
Free Fibula Flap
Transfer of fibula bone with its blood supply for reconstruction of jaw, long bones, or complex limb defects.
ALT Flap Reconstruction
Anterolateral thigh flap for reconstruction of extensive soft tissue defects in limbs, head and neck, or torso regions.
Digit & Limb Replantation
Reattachment of completely amputated fingers, hands, or limbs using microsurgical techniques to restore function.
Microsurgical Lymphatic Reconstruction
Lymphovenous anastomosis and vascularized lymph node transfer for treatment of lymphedema.
Complex Wound Reconstruction
Free tissue transfer for reconstruction of complex wounds from radiation, infection, or traumatic injury.
The Microsurgical Process
Microvascular surgery requires meticulous planning, advanced imaging, and precise execution. Each procedure involves careful selection of donor tissue, meticulous dissection of blood vessels under high-power microscopy, microvascular anastomosis (connection of vessels typically 1-3mm in diameter), and postoperative monitoring to ensure flap survival. These surgeries often last 6-12 hours and require specialized postoperative care units.
Our Microsurgical Expertise
Utilizing state-of-the-art operating microscopes and specialized instruments for precision reconstruction.
- Operating microscope with 10-40x magnification
- Specialized microsurgical instruments
- Intraoperative vascular monitoring
- Dedicated microsurgical intensive care
Recovery & Postoperative Care
Postoperative care is critical in microsurgery. Patients are monitored in specialized units with regular flap checks (color, temperature, capillary refill) and may receive anticoagulation therapy. Recovery varies by procedure complexity, with initial hospitalization of 5-10 days for free flap monitoring. Long-term follow-up focuses on functional rehabilitation, secondary procedures for refinement, and monitoring for complications.