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Free Microvascular Flaps

Free Microvascular Flaps at Bembde Hospital

Restoring Form and Function with Precision Surgery

ree microvascular flap surgery is an advanced reconstructive microsurgical technique that transfers living tissue from one part of the body to another, ensuring blood supply through microsurgical connections. This procedure is crucial for reconstructing large defects caused by trauma, cancer resection, chronic wounds, and severe infections.

At Bembde Hospital, we take pride in being pioneers in free microvascular flap surgery, offering exceptional precision and care to restore both functionality and aesthetics. 

Why Free Microvascular Flap Surgery?

Free microvascular flaps are essential when traditional local flaps are insufficient for covering large or complex defects. These flaps are particularly valuable for:
  • Complex Wound Coverage – Especially after trauma or cancer resection.
  • Complex Wound Coverage – Especially after trauma or cancer resection.
  • Restoring Sensation & Aesthetics – Including nerve anastomosis for sensory recovery.
  • Limb Salvage & Viability – In cases requiring critical revascularization.

Why Choose Bembde Hospital for Free Microvascular Flap Surgery?

Since 1999, Bembde Hospital has been a leading center for reconstructive microsurgery in Central Maharashtra. Under the leadership of Dr. Ramakant Bembde, a renowned microsurgeon trained at Tata Memorial Hospital and Ganga Hospital, we have set benchmarks in performing complex free flap procedures with high success rates and minimal complications.

Our state-of-the-art microsurgical setup includes: 

  • Carl Zeiss Operating Microscope – Ensuring precise microsurgical connections.
  • S&T Micro-Instruments (Switzerland) – World-class tools for delicate microvascular work.
  • Advanced Operating Theaters – Designed for precision and infection control.
  • Multidisciplinary Team – Including plastic surgeons, orthopedic specialists, vascular experts, and physiotherapists.

Free Microvascular Flaps Best Results / Before & After

ALL RESULT

Types of Free Microvascular Flaps

Used to cover large defects where muscle bulk is required, such as:

  • Trauma-related soft tissue loss
  • Chronic non-healing ulcers and pressure sores
  • Post-tumor resection defects (head, neck, extremities)

Thin, pliable flaps ideal for functional and aesthetic coverage, particularly for:

  • Head and neck reconstructions
  • Lower limb defect coverage
  • Post-burn scar revisions

Combining bone with soft tissue, these flaps are essential for:

  • Mandibular (jaw) reconstruction
  • Limb salvage procedures
  • Large bony defect coverage

These flaps restore sensation through nerve anastomosis, crucial for:

  • Hand and foot reconstructions
  • Functionally important areas requiring tactile feedback

Primarily used for contouring and soft tissue augmentation, these flaps help in:

  • Restoring volume in reconstructive cases
  • Refining post-surgical appearance

Procedure Overview

Free microvascular flap surgery involves precisely transferring tissue from a donor site to a recipient site, ensuring vascular supply via microsurgical techniques.

Key Steps:

  • Flap Harvesting – Selecting the most suitable donor site while preserving blood vessels.
  • Flap Transfer – Placing the harvested tissue at the recipient site.
  • Microsurgical Anastomosis – Connecting arteries and veins with high-precision sutures.
  • Nerve Coaptation (if needed) – Restoring sensation by joining nerve structures.
  • Postoperative Monitoring – Ensuring vascular patency and tissue survival.

Postoperative Care & Rehabilitation

  • Monitoring Vascular Flow – Regular Doppler ultrasound checks to assess blood circulation.
  • Anticoagulant Therapy – Preventing blood clots in reconstructed vessels.
  • Early Mobilization & Physiotherapy – Restoring functionality and movement.
  • Wound Care & Infection Prevention – Keeping the surgical site clean.

Common Applications of Free Microvascular Flaps

  • Head and Neck Reconstruction – After tumor resection.
  • Breast Reconstruction – Post-mastectomy using DIEP or TRAM flaps.
  • Trauma Reconstruction – Covering open fractures and degloving injuries.
  • Lower Limb Salvage – Following severe crush injuries.
  • Hand and Foot Reconstructions – Restoring form and function.

Success Rates & Challenges

At Bembde Hospital, our success rates for free microvascular flap surgery are among the highest in the region.

Potential Challenges & Solutions

  • Vascular Compromise – Prevented with meticulous microsurgical techniques.
  • Flap Necrosis – Closely monitored postoperatively to detect early signs of failure.
  • Infections – Managed with strict aseptic precautions and prophylactic antibiotics.
  • Functional Recovery – Ensured through intensive rehabilitation programs.

Are Free Microvascular Flaps Right for You?

Free microvascular flap surgery is a reconstructive technique that uses tissue from one part of the body to repair defects in another, often after trauma, cancer surgery, or congenital issues. This intricate procedure reconnects tiny blood vessels to ensure healthy tissue transfer and healing.

  • Ideal for complex reconstructions of the face, limbs, or body
  • Preserves tissue function and appearance
  • Performed using high-precision microsurgical methods
  • Customized to each patient’s unique reconstructive needs

Frequently Asked Questions (FAQs)


It takes approximately 6 to 12 hours, depending on the complexity.


Common risks include flap failure, infection, vascular issues, and delayed healing. Our advanced microsurgical techniques minimize these risks significantly.


Initial healing: 2-3 weeks
Full recovery (including rehabilitation): 6 months or more


Yes, physiotherapy is essential for mobility, strength, and functional recovery.


While functionality is prioritized, our team ensures aesthetically pleasing outcomes. Sensory recovery depends on nerve repair.

Why Choose Bembde Hospital for Free Microvascular Flap Surgery?

  • Expert Microsurgeons – Led by Dr. Ramakant Bembde, a pioneer in microvascular surgery.
  • Cutting-Edge Technology – World-class microscopes and instruments.
  • Comprehensive Care – From preoperative planning to postoperative rehab.
  • High Success Rates – Proven clinical outcomes with minimal complications.
  • Patient-Centric Approach – Personalized care for optimal recovery.

Take the First Step Towards Recovery

Free microvascular flap surgery can be life-changing for patients with severe injuries, complex defects, or post-cancer deformities.Contact us today to learn how our expert microvascular techniques can help you rebuild your life. 

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