Microvascular surgery.
OBJECTIVE
After reading this article, the participant should be able to: 1. Describe the common room set-up, medical considerations, and technical equipment necessary to perform microvascular surgery. 2. Describe the common arterial and venous techniques in performing microvascular surgery. 3. Recognize the common flap types along with their vascular supply and innervation used for microvascular surgery. 4. Describe common techniques for flap monitoring. 5. Describe techniques and medications for thrombolytic therapy. 6. Describe common medical conditions that may preclude an optimal result in microvascular surgery.


CONCLUSIONS
This article will explore common approaches to microsurgery. It is anticipated that the readers can utilize this article for maintenance of certification educational components and take the principles outlined and apply them to their daily practice.
Evans
Brandon C D
BC
Department of Surgery and Biomedical Engineering, Aesthetic & Plastic Surgery Institute, Orange, CA 92868, USA. gevans@uci.edu
Evans
Gregory R D
GR
D000714:Anastomosis, Surgical; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation; D015912:Thrombolytic Therapy / Q000379:methods; D013927:Thrombosis / Q000517:prevention & control; D014656:Vascular Surgical Procedures
D005343:Fibrinolytic Agents