For the first time, vascular surgery for successful shaping

A 20-year-old young man, in Co Loa, Dong Anh, Hanoi, suffered a leg amputation due to a car accident that had just been operated to shift the thigh weight skin to cover the injured foot. This is the first time that Hanoi Green Hospital has successfully applied vascular microsurgery techniques to shape.

This surgery was performed by doctors of the Department of Plastic Surgery and Hanoi Green General Hospital, Department of Plastic Surgery and Hanoi Medical University.

The doctor said, this patient was crushed left foot by the car wheel inserted, must cut off most of the foot. However, wounds on the mu and foot parts are lacking in skin cover, which is prone to infection of the heel bone, damaging the rest of the patient's legs.

The Poncho hospital doctors are sewing under the surgical microscope.(Photos provided by the Hospital)

Therefore, doctors decided to create plastic surgery to cover the instep skin, protect the exposed foot bone, and be able to install an artificial foot later. They transferred a weight-bearing flap (vascular skin flap) in the patient's thigh to cover the injured foot.

In order to ensure that the flap of skin weighs on the foot, doctors must stitch the blood vessels of the skin flap with a blood vessel of the foot. Due to the very small size of the blood vessels, about 1.8-2 mm, the jointing procedure is performed under a surgical microscope. This is a difficult technique because every operation requires precision and sophistication.

This technique allows to shorten the patient's treatment time compared to other classic imaging techniques. Moreover, it is possible to conserve the rest of the foot, to enable patients to perform effective rehabilitation measures.

From this success will open a high technical direction in the treatment of plastic surgery for injured patients, birth defects and after cancer treatment.

According to the doctors of the Department of Plastic Surgery, the situation of newly operated patients is progressing well and can be discharged in 3-4 days.

Thuy Minh