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Supermicrosurgery

Supermicrosurgery is a highly specialised branch of microsurgery that deals with the manipulation of extremely small blood vessels and lymphatic vessels (often less than 0.8mm in diameter).

This innovative surgical technique requires the use of advanced microscopes and instruments as well as highly skilled surgeons to perform precise reconstructions and repairs on a previously unimaginable scale.

The development of supermicrosurgery has opened up new horizons and significantly improved outcomes for patients suffering from various complex conditions.

Clinical areas of application

Lymphatic surgery

One of the most significant applications of supermicrosurgery is in the treatment of lymphoedema, a condition characterised by the chronic accumulation of lymphatic fluid in the tissue, leading to swelling and discomfort.

Traditional treatments for lymphoedema have been limited to conservative measures such as compression therapy, which only alleviate the symptoms without addressing the underlying cause.

Supermicrosurgery offers a curative approach through procedures such as lymphatic vein anastomosis (LVA), in which tiny lymphatic vessels are connected to small veins, allowing the drainage of lymphatic fluid and reducing swelling.

This technique has shown promising results, particularly in improving the quality of life of patients with secondary lymphoedema following cancer treatment(video testimonials from former patients).

Reconstructive surgery after trauma or cancer operations

Another important application of supermicrosurgery is in the field of reconstructive surgery following trauma or cancer operations. This technique allows the reconstruction of complex structures with improved functional and aesthetic results.

For example, extensive surgical tissue removal in the case of head and neck cancer requires complex reconstructions. Supermicrosurgery enables the precise transfer of free flaps (skin, fat, muscle or bone with their blood supply) from one part of the body to another.

Replantation surgery

Supermicrosurgery is also crucial in replantation surgery, where amputated parts, such as fingers or even larger structures, are reattached.

The ability to reconnect tiny blood vessels ensures the survival of the replanted tissue and leads to better functional recovery.

Peripheral nerve surgery

Supermicrosurgery is also increasingly being used in peripheral nerve surgery, where it helps to repair nerve injuries that would otherwise lead to a permanent loss of function.

Positive future prospects

Advances in supermicrosurgery continue to evolve, with ongoing research aimed at refining techniques and expanding their applications.

As the field continues to advance, supermicrosurgery will play an even more central role in the treatment of conditions that require unrivalled precision and dexterity, offering hope and improved outcomes to patients worldwide.