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“Advanced Microsurgery & Nerve Surgery” refers to a specialized field of surgery that focuses on intricate procedures involving very small anatomical structures—particularly nerves, blood vessels, and soft tissue—using high-magnification tools and specialized techniques. Here’s a breakdown of what it entails: 🔬 Microsurgery Microsurgery involves operating on structures typically smaller than 1–2 mm in diameter, such as: Blood vessels Nerves Lymphatic channels Surgeons use an operating microscope and precision instruments to perform these delicate procedures. Common Microsurgical Procedures: Free tissue transfer (free flaps) for reconstruction (e.g., after cancer or trauma) Replantation of amputated digits or limbs Lymphedema surgery (e.g., lymphovenous bypass) Vasectomy reversal 🧠 Nerve Surgery This focuses on diagnosing and treating injuries or conditions affecting peripheral nerves. Types of Nerve Surgery: Nerve repair (e.g., direct suture or grafting) Nerve decompression (e.g., carpal tunnel release) Nerve transfers (redirecting a functioning nerve to restore movement or sensation) Neurolysis (freeing a nerve from scar tissue) Neuroma excision (removing painful nerve tumors) 🔄 Advanced Techniques & Innovations Supermicrosurgery: Operating on vessels/nerves <0.8 mm in diameter Nerve allografts and conduits: For complex nerve gaps Intraoperative nerve monitoring Robotic microsurgery (emerging field) 3D visualization and augmented reality in planning and navigation 👨‍⚕️ Specialists Typically performed by: Plastic and reconstructive surgeons Neurosurgeons Hand surgeons Orthopedic microsurgeons These specialists undergo extensive training in both microsurgical techniques and peripheral nerve anatomy and physiology.