Microsurgery in Pune: Vessel and Nerve Repair

Microsurgery in Pune: Repairing Small Vessels and Nerves

Microsurgery is surgery done under an operating microscope to join blood vessels and nerves that are only one to two millimetres wide, using stitches finer than a hair. It is used to repair injured vessels and nerves, reattach cut-off parts in selected cases, move tissue with its own blood supply in reconstruction, and create access for dialysis.

What does microsurgery include?

Problem	Read more
Cut or damaged arteries and veins, finger reattachment	Blood vessel repair surgery
Cut or damaged nerves	Nerve repair surgery
Access for haemodialysis	AV fistula surgery

The same techniques support larger reconstructions, such as cancer reconstruction surgery and breast reconstruction, and are part of many hand surgery repairs. Which of these suits you varies by case and is decided at consultation.

How does microsurgery work?

An operating microscope magnifies the vessels or nerves many times. The surgeon uses fine instruments and very thin stitches to join the ends edge to edge, so blood flows smoothly through a vessel repair or nerve fibres can grow across a nerve repair. When a segment is missing, a short vein or nerve graft bridges the gap.

When is microsurgery needed?

After injuries where an artery, vein or nerve has been cut, particularly in the hand and face.
When a part has been cut off and reattachment is possible.
In reconstruction, when local tissue is not enough and tissue must be moved from elsewhere with its blood supply.
For dialysis, to connect an artery to a vein in the arm.

What happens after microsurgery?

Repairs are protected with splints and dressings. After vessel repairs and free flaps, the team checks colour, warmth and blood flow regularly in the first days, because clots are most likely then. Smoking and nicotine are avoided, as they narrow small vessels. Nerve recovery is slow and is supported with therapy over months.

What should you ask before microsurgery?

Which vessels or nerves are involved, and can they be joined directly or will a graft be needed?
How will the repair be monitored in the first days?
What is the plan if a repaired vessel clots?
How long will recovery take, and what hand therapy or physiotherapy will I need?

Microsurgery is often combined with other repairs, such as fixing bones, tendons and skin, so recovery depends on the whole injury or reconstruction rather than the vessel or nerve repair alone.

Questions about microsurgery

What is microsurgery used for?

Repairing cut arteries and nerves after injury, reattaching fingers or other parts in selected cases, transferring tissue with its own blood supply (free flaps) after cancer or trauma, and creating AV fistulas for dialysis.

How small are the vessels joined in microsurgery?

Often one to two millimetres or smaller, such as the arteries in a finger. The stitches are finer than a human hair and are placed under magnification.

How long do nerves take to recover after microsurgical repair?

Nerves regrow at roughly a millimetre a day, so recovery takes months and depends on the distance to the area the nerve supplies.

What is a free flap?

A piece of tissue, such as skin, fat, muscle or bone, removed with its artery and vein and reconnected to vessels at another site using microsurgery. It allows larger or more complex reconstruction.

Why is monitoring needed after microsurgery?

Small vessel repairs can clot in the first days. Regular checks of colour, warmth and blood flow allow a problem to be treated quickly, sometimes with a return to theatre.

Consultation for microsurgery

Consultations are in person at Dr Sushrut’s Plastic and Cosmetic Surgery Clinic, Sayar Clinic, Ayodhya Complex, in front of Canara Bank, Bibwewadi, Pune 411037. Hours: Monday to Saturday, 5-9 pm.

Appointments are booked by phone call or WhatsApp on +91 98904 34447 (WhatsApp). Bring any previous reports, prescriptions and a list of your current medicines.