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Reconstructive Surgery
Reconstructive surgery involves procedures aimed at restoring form and function to parts of the body affected by congenital defects, trauma, infection, tumors, or disease. Unlike cosmetic surgery, which is primarily focused on enhancing appearance, reconstructive surgery seeks to correct abnormalities and improve quality of life.
Common Types of Reconstructive Surgery
Breast Reconstruction:
- Post-Mastectomy: Rebuilding the breast after removal due to cancer. Techniques include implant-based reconstruction or autologous tissue reconstruction (using the patient’s tissue).
- Congenital Anomalies: Correcting conditions like Poland syndrome or tuberous breasts.
Craniofacial Surgery:
- Cleft Lip and Palate Repair: Correcting congenital deformities of the lip and palate.
- Craniosynostosis Repair: Correcting premature fusion of skull bones in infants to allow for normal brain growth and skull shape.
Hand Surgery:
- Carpal Tunnel Release: Relieving pressure on the median nerve.
- Dupuytren’s Contracture: Releasing abnormal tissue causing fingers to bend into the palm.
- Reconstructive Surgery: Repairing injuries, correcting congenital deformities, and restoring function.
Burn Reconstruction:
- Treating scars and deformities resulting from severe burns. Techniques include skin grafts, flap surgery, and tissue expansion.
Microsurgery:
- Free Flap Surgery: Transferring tissue from one part of the body to another using microsurgical techniques to reconnect blood vessels.
- Replantation: Reattaching severed fingers, hands, or other body parts.
Lower Extremity Reconstruction:
- Repairing complex wounds or defects in the legs and feet, often following trauma, infection, or surgery.
Procedure
Consultation:
- Detailed discussion with the surgeon to assess the condition, discuss goals, and plan the appropriate surgical approach.
Preoperative Planning:
- Imaging studies, physical examinations, and possibly a multidisciplinary team approach to plan the surgery.
Surgical Technique:
- Varies widely based on the type of reconstruction. May involve tissue grafts, flap techniques, implants, or microsurgery.
Recovery
- Swelling, bruising, and discomfort are common. Pain management and wound care are crucial.
- The duration of healing varies by procedure and patient. Full recovery can take weeks to months.
- Physical therapy may be necessary to restore function, particularly in surgeries involving the limbs or complex repairs.
Risks
- Infection, bleeding, scarring, anesthesia complications, and failure of the reconstructed tissue.

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Patricia Fernandes