Reconstructive Microsurgery

Reconstructive microsurgery is performed with the most sophisticated techniques, such as powerful state-of-the-art microscopes, and is aimed at repairing blood vessels and nerves.

Reconstructive microsurgery allows a large number of reconstructions in any part of the body, improving both the ability to reconstruct very complex structures and the aesthetics of the reconstruction.

Post-traumatic, tumour, post-burn or congenital defects and sequelae located in the upper and lower limbs, thorax and abdomen are reconstructed. Depending on the defect, transpositions of local tissues or other areas of the body are used.

Imagen del icono de la consulta de Segunda Opinión. Clínica Universidad de Navarra

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Cutting edge treatments

Reconstruction of large head and neck, breast or limb defects. Generally, of oncological patients.

It is based on the anastomosis (union) under surgical microscope of blood vessels between the receiving area (defect) and the transferred tissue (flap). 

Advantages

  • Get a functional improvement.
  • Restores the shape of the defect.
  • Lower risk of post-operative complications, since the contribution of highly vascularized tissue reduces the risk of infection and dehiscence (opening) of the surgical wound.
  • Increased ability to select the most appropriate donor tissue to restore form and function.
  • Allows for earlier social and occupational reintegration of patients.

The defects most treated by flap reconstruction are those derived from breast and maxillofacial pathologies, facial paralysis and the sequelae of burns and post traumatic.

Its function is to reconstruct nerves. It is possible to reconstruct peripheral nerves from any part of the body. 

They treat congenital or acquired conditions of the peripheral nerves: rehabilitation of the upper and lower limb after nerve plexus injuries, nerve entrapment syndromes, etc.

Techniques:

  • Neurotization. Innervation of a denervated muscle from an adjacent healthy nerve.
  • Neurorraphy. It consists of joining the severed ends of the nerve. If these ends are very far from each other, a graft is placed.
  • Neurolysis. It is the decompression carried out on a nerve that has not been completely cut, but is tightened by a fibrous or ligamentary scar, caused in turn by trauma.

Reconstruction of the defects caused by the surgery of the tumour extraction by means of autologous tissues (of the patient himself) using microsurgical techniques.

In the region of the head and neck there are several areas where the development of a tumor is possible: mouth, throat, sinuses and nasal cavity, glottis, salivary glands and skin of the face and neck.