{"id":1910,"date":"2025-12-31T07:26:53","date_gmt":"2025-12-31T07:26:53","guid":{"rendered":"https:\/\/serdarnasir.com\/?page_id=1910"},"modified":"2026-10-20T14:45:51","modified_gmt":"2026-10-20T14:45:51","slug":"vascular-repairs-microsurgery","status":"publish","type":"page","link":"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/","title":{"rendered":"Vascular Repairs (Microsurgery)"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_2003733829\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-443035903\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-xlarge flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Vascular Repairs (Microsurgery) in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n     \n<style>\n#page-header-443035903 .page-title-inner {\n  min-height: 150px;\n}\n#page-header-443035903 .title-overlay {\n  background-color: rgba(255, 255, 255, 0);\n}\n<\/style>\n  <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_2003733829 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #213360;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_841320031\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-20524952\">\n\n\t<div id=\"col-587265008\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Vascular repairs are microsurgical procedures performed to restore the anatomical and functional integrity of arterial and venous structures damaged during traumatic injuries or surgical interventions. They are of vital importance, especially in limb replantations.<\/p>\n<p>Microsurgical vascular repair is performed under a surgical microscope that provides high magnification, using very fine suture materials. Thanks to this technique, even vessels with a millimeter diameter can be successfully sutured. During the procedure, the vessel ends are debrided and an end-to-end anastomosis is performed.<\/p>\n<p>Arterial repairs are prioritized to restore the delivery of oxygenated blood to the relevant tissue. Venous repairs, on the other hand, ensure venous return, preventing edema and circulatory disorders. Repairing both structures is critical for tissue survival.<\/p>\n<p>In postoperative follow-up, vessel patency, signs of circulation, and tissue viability are closely monitored. Anticoagulant therapy may be administered. In patients who undergo vascular repair, success rates depend on the time to intervention, surgical experience, and accompanying tissue injuries.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Vascular repairs performed with microsurgery are the surgical repair or reconnection of arteries or veins, typically 1\u20133 mm in diameter. They are carried out with a high-magnification microscope and specialized surgical instruments.<\/td>\n<\/tr>\n<tr>\n<td>Areas of Use<\/td>\n<td>Replantation in finger, hand, or limb amputations, free tissue transfers, post-traumatic vascular injuries, reconstruction after tumor resections.<\/td>\n<\/tr>\n<tr>\n<td>Types of Surgery<\/td>\n<td>Methods such as end-to-end anastomosis, vascular repair with grafts, flap transfers, and the use of vascular patches may be applied.<\/td>\n<\/tr>\n<tr>\n<td>Surgical Stages<\/td>\n<td>Identifying the vessel ends, cleaning them, removing clots, suturing the vessel ends under the microscope (anastomosis), restoring circulation.<\/td>\n<\/tr>\n<tr>\n<td>Equipment Used<\/td>\n<td>Operating microscope, microsurgical instruments (micro forceps, micro needle holder), monofilament suture materials between 8-0 and 11-0.<\/td>\n<\/tr>\n<tr>\n<td>Success Criteria<\/td>\n<td>Proper technique, ensuring adequate circulation, leak-proof anastomosis line, and preventing thrombosis affect success.<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Thrombosis (vessel occlusion), bleeding, infection, inadequate healing at the anastomosis line, recurrent loss of circulation.<\/td>\n<\/tr>\n<tr>\n<td>Duration of Surgery<\/td>\n<td>Although it varies depending on the type of procedure and the number of vessels, it generally lasts between 2\u20138 hours.<\/td>\n<\/tr>\n<tr>\n<td>Postoperative Monitoring<\/td>\n<td>Vessel patency is monitored (with Doppler), limb temperature and color are observed, anticoagulant drugs (e.g., heparin) may be used.<\/td>\n<\/tr>\n<tr>\n<td>Rehabilitation Process<\/td>\n<td>Physiotherapy, functional recovery of the limb, and the sensory and motor recovery process are monitored. Long-term rehabilitation may be applied if necessary.<\/td>\n<\/tr>\n<tr>\n<td>Patient Selection<\/td>\n<td>Success rates are higher in young patients in good general condition, with suitable circulation, and who do not smoke.<\/td>\n<\/tr>\n<tr>\n<td>Long-Term Outcomes<\/td>\n<td>Full functional recovery is possible in successful repairs; if circulation is sufficient, tissue necrosis is prevented. However, vessel patency should be monitored in the long term as well.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-587265008 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_841320031 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1821179722\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1180112807\">\r\n\r\n\n\t<div id=\"col-599102521\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#213360;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1550665560\">\r\n\r\n\n\t<div id=\"col-1980245610\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_434449236\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp 533w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-267x400.webp 267w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1.webp 720w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_434449236 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1980245610 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-333145146\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1936527117\" class=\"text\">\n\t\t\r\n\r\n<div><strong><span style=\"font-size: 110%;\">Prof. Dr. Serdar Nas\u0131r<\/span><\/strong><strong><span style=\"font-size: 63%;\"><br \/>Specialist in Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery<\/span><\/strong><\/div>\r\n\r\n\t\t\n<style>\n#text-1936527117 {\n  font-size: 1.55rem;\n}\n@media (min-width:550px) {\n  #text-1936527117 {\n    font-size: 1.85rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n<p>He completed his medical education at Ankara University Faculty of Medicine in 1996 and his specialty training between 1996\u20132002 at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Between 2002\u20132009, he worked at S\u00fcleyman Demirel University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Since 2009, he has been working at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2011. In 2019, Dr. Nas\u0131r became a Professor and continues to work as a faculty member in this position.<\/p>\r\n<a href=\"\/en\/about-me\/\" class=\"button white\" style=\"border-radius:5px;\">\n\t\t<span>View More<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-333145146 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-599102521 > .col-inner {\n  padding: 30px 25px 0px 25px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 30px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1821179722 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_269752662\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-407564016\">\n\n\t<div id=\"col-1389449139\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/#What_Are_Vascular_Repairs_Microsurgery\" >What Are Vascular Repairs (Microsurgery)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/#What_are_the_standard_suture_techniques_used_in_vascular_repairs\" >What are the standard suture techniques used in vascular repairs?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/#What_role_does_the_Z-plasty_technique_play_in_preventing_vascular_narrowing\" >What role does the Z-plasty technique play in preventing vascular narrowing?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/#Are_sutureless_methods_and_fibrin_adhesives_safe\" >Are sutureless methods and fibrin adhesives safe?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/#Why_is_Folded-Stent_technology_critically_important_in_venous_repairs\" >Why is Folded-Stent technology critically important in venous repairs?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/#What_are_the_success_rates_of_free_tissue_transfer_flap\" >What are the success rates of free tissue transfer (flap)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/#What_are_the_causes_of_failure_and_how_are_vascular_problems_recognized_clinically\" >What are the causes of failure and how are vascular problems recognized clinically?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/#When_is_the_decision_made_for_re-exploration_meaning_repeat_surgery\" >When is the decision made for re-exploration, meaning repeat surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/vascular-repairs-microsurgery\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_Vascular_Repairs_Microsurgery\"><\/span>What Are Vascular Repairs (Microsurgery)?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Vascular repairs (microsurgery) are procedures in which small arteries and veins, usually 1\u20133 millimeters in diameter, are repaired under an operating microscope using specialized fine surgical instruments and suture materials. They are most commonly performed in the reattachment of amputated limbs after trauma, tissue transfers, and free flap procedures. The aim is to restore blood circulation to preserve tissue viability and prevent loss of function. It requires high technical skill and experience.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_standard_suture_techniques_used_in_vascular_repairs\"><\/span>What are the standard suture techniques used in vascular repairs?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In vascular repairs, the most frequently used method by surgeons\u2014one that has proven its reliability for years and is considered the \u201cgold standard\u201d\u2014is to bring the vessel ends together and connect them with individual sutures. We call this an \u201cend-to-end anastomosis.\u201d The threads (sutures) used during this procedure are 10\/0 or 11\/0 nylon sutures. These numbers may not mean much to you, but let me put it this way: when viewed with the naked eye, these threads look like a speck of dust floating in the air or a thin spider web.<\/p>\n<p>The main goal in this standard technique is to keep the tunnel inside the vessel (the lumen) open and to leave no slightest irregularity that could cause blood clotting. Each stitch must gently approximate the layers of the vessel. If it is tied too tightly, the vessel constricts and blood cannot pass; if it is tied too loosely, blood leaks and a clot forms. Achieving this delicate balance requires great experience.<\/p>\n<p>The main objectives of this method are:<\/p>\n<ul>\n<li>Lumen patency<\/li>\n<li>Leak-proof sealing<\/li>\n<li>Tissue integrity<\/li>\n<li>Prevention of clotting<\/li>\n<li>Continuity of flow<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"What_role_does_the_Z-plasty_technique_play_in_preventing_vascular_narrowing\"><\/span>What role does the Z-plasty technique play in preventing vascular narrowing?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In surgical practice, we are always pursuing the question, \u201cHow can we do it better?\u201d Although standard repairs performed with a straight incision often yield excellent results, sometimes healing tissue can constrict and narrow the vessel opening. This is a risk factor especially in pediatric patients or tissues with growth potential. At this point, we adapt one of the fundamental principles of plastic surgery\u2014the \u201cZ-plasty\u201d technique\u2014to vessels.<\/p>\n<p>As the name suggests, Z-plasty refers to cutting and suturing the vessel ends not as a straight line but in an interlocking \u201cZ\u201d shape or in a way that creates triangular flaps. Why do we go to this trouble? Because a wound that heals as a straight ring tends to constrict over time like the mouth of a drawstring bag. With Z-plasty, when we make the repair line zigzag, we break this constriction effect. More importantly, this technique physically enlarges the diameter of the repaired line. You can think of it like widening a narrow door at its hinges.<\/p>\n<p>This technique is not applied to every vessel. In particular, it may not be preferred in extra-vascular tubular structures\u2014for example, in urologic microsurgery in the vas deferens (ductus deferens)\u2014because the tissue is firm and difficult to shape. However, in flexible vascular structures, especially when long-term patency is critical, Z-plasty can be a lifesaving maneuver.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1389449139 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_269752662 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_311464495\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1474133609\">\r\n\r\n\n\t<div id=\"col-104787621\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1772083214\">\r\n\r\n\n\t<div id=\"col-1482242331\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-3703663183\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact us to get information about treatments and create an appointment!<\/strong><\/div>\r\n\t\t\n<style>\n#text-3703663183 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #213360;\n}\n#text-3703663183 > * {\n  color: #213360;\n}\n@media (min-width:550px) {\n  #text-3703663183 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-610314211\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905330852159\" class=\"button success\" style=\"border-radius:5px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-104787621 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-104787621 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_311464495 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1806576765\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1599753846\">\n\n\t<div id=\"col-704121287\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Are_sutureless_methods_and_fibrin_adhesives_safe\"><\/span>Are sutureless methods and fibrin adhesives safe?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>With advances in technology, the philosophy of \u201cless foreign material, more natural healing\u201d has come to the forefront in surgery. After all, no matter how fine the threads we use are, they are foreign materials for the body and can create a reaction, even at a microscopic level. To minimize this reaction and shorten operation times, sutureless or minimal-suture methods have been developed.<\/p>\n<p>The leading approaches include the \u201cTelescopic Method\u201d and \u201cFibrin Adhesives.\u201d In the telescopic method, one end of the vessel is placed inside the other end, like nested cups or the parts of a telescope. This ensures that the inner surface of the vessel (the intima) provides smooth continuity in the direction of blood flow. Biological adhesives are then used to stabilize this junction.<\/p>\n<p>Fibrin adhesives contain clotting proteins derived from human blood. In other words, they mimic the body\u2019s own wound-healing mechanism. Using only adhesive can create a risk of separation, especially in high-pressure arteries, so we generally adopt a hybrid approach. To ensure safety, we place 2 or 3 guiding sutures and then apply adhesive to provide sealing and complete union.<\/p>\n<p>The advantages provided by this approach are:<\/p>\n<ul>\n<li>Short operation time<\/li>\n<li>Less tissue damage<\/li>\n<li>Low inflammation<\/li>\n<li>Leak-proof sealing<\/li>\n<li>Ease of application<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Why_is_Folded-Stent_technology_critically_important_in_venous_repairs\"><\/span>Why is Folded-Stent technology critically important in venous repairs?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In microsurgery, repairing arteries is relatively more \u201cpleasant\u201d because their walls are thicker, their lumens remain open, and they are easier to suture. However, veins can sometimes turn into a nightmare for surgeons. The walls of veins are so thin and lax that they constantly collapse and stick together like an empty pouch.<\/p>\n<p>This sticking creates a major risk while placing sutures: \u201cback-walling,\u201d meaning suturing the posterior wall. It is the risk of accidentally catching the back wall while passing the needle through the front wall, thereby completely closing the vessel lumen. If you do not notice this mistake, the vessel occludes as soon as blood flow starts and the entire surgery becomes futile.<\/p>\n<p>To solve this problem, the \u201cFolded-Stent\u201d technique has been developed. In this method, a temporarily folded, thin stent (support material) is placed inside the vessel. This stent supports the vessel from within like a tent pole, keeping it open. This allows the surgeon to clearly distinguish the front and back of the vessel and pass the needle safely. After the procedure, the stent is removed or left in place if it is a resorbable type. Studies have shown that this technique reduces the margin of error in venous repairs to almost zero and dramatically increases procedural speed.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_success_rates_of_free_tissue_transfer_flap\"><\/span>What are the success rates of free tissue transfer (flap)?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>T\u00fcrkiye is one of the leading countries in the world in plastic and reconstructive surgery. Data from our university hospitals and major clinics show that success rates in free tissue transfers (microvascular free flaps) are 95% and above. This is fully compatible with world standards, and it is an area where we are even at a better level than many Western countries.<\/p>\n<p>Success means not only suturing the vessel, but also the transplanted tissue surviving in its new location and gaining function. For example, we are talking about complex procedures such as a thin skin and vessel segment taken from your arm (Radial Forearm Flap) covering a defect in your neck, or a segment taken from the shin bone in your leg (Fibula Flap) being used as a jawbone.<\/p>\n<p>Although failure is rare, it usually becomes apparent within the first 72 hours. In the radial forearm flap, problems may be more related to the artery, whereas in the fibula flap, venous insufficiency may be seen more frequently. However, in experienced hands, these risks are minimal.<\/p>\n<p>Commonly used flap types include:<\/p>\n<ul>\n<li>Radial Forearm Flap<\/li>\n<li>Fibula Flap<\/li>\n<li>Rectus Abdominis Flap<\/li>\n<li>Anterolateral Thigh Flap<\/li>\n<li>Latissimus Dorsi Flap<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-704121287 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1806576765 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_418888395\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-2071149430\">\r\n\r\n\n\t<div id=\"col-1513028254\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-42792437\">\r\n\r\n\n\t<div id=\"col-1756146158\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-494732952\" class=\"text\">\n\t\t\r\n\r\n<p><strong>Contact Us!<\/strong><\/p>\r\n\t\t\n<style>\n#text-494732952 {\n  font-size: 2rem;\n  text-align: center;\n  color: #1f437b;\n}\n#text-494732952 > * {\n  color: #1f437b;\n}\n@media (min-width:550px) {\n  #text-494732952 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-1939921419\" class=\"text\">\n\t\t\r\n\r\n<div>Contact us to get information about treatments and create an appointment!<\/div>\r\n\t\t\n<style>\n#text-1939921419 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #2d304e;\n}\n#text-1939921419 > * {\n  color: #2d304e;\n}\n@media (min-width:550px) {\n  #text-1939921419 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1756146158 > .col-inner {\n  margin: 0px 0px 0px 0px;\n}\n@media (min-width:550px) {\n  #col-1756146158 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1686058560\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1791-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1791\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1910#wpcf7-f1791-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1791\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1791-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Create Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"4\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1686058560 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-1686058560 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1513028254 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1513028254 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_418888395 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1469106038\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1749034179\">\n\n\t<div id=\"col-1373054107\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_causes_of_failure_and_how_are_vascular_problems_recognized_clinically\"><\/span>What are the causes of failure and how are vascular problems recognized clinically?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>After the surgery ends, the most stressful but most important process begins for us: follow-up. The color, temperature, and fullness of the transferred tissue tell us everything. If a vascular repair fails or becomes occluded, the tissue immediately signals us. Reading these signals correctly is vital to save the tissue.<\/p>\n<p>We may encounter two main problems: arterial insufficiency (no inflow) or venous insufficiency (no outflow).<\/p>\n<p>In arterial insufficiency, fresh blood does not reach the tissue. In this case, the tissue becomes pale, takes on a marble-white color, and feels ice-cold to the touch. Even if you prick it with a needle, there is no bleeding, or there is only a small amount of dark-colored oozing. This means \u201cthe faucet is closed.\u201d<\/p>\n<p>Venous insufficiency is more insidious and dangerous. Blood reaches the tissue but cannot return. Like a sink with a clogged drain, the tissue fills with blood, swells, and turns purple (cyanosis). The tissue color may shift from purple to blue and even black. It feels tense to the touch and shows a very rapid response in the capillary refill test (pressing with a finger and releasing), because it has turned into a pool of blood inside.<\/p>\n<p>Signs of venous insufficiency include:<\/p>\n<ul>\n<li>Purple discoloration<\/li>\n<li>Edema<\/li>\n<li>Increased warmth<\/li>\n<li>Rapid capillary refill<\/li>\n<li>Dark-colored bleeding<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"When_is_the_decision_made_for_re-exploration_meaning_repeat_surgery\"><\/span>When is the decision made for re-exploration, meaning repeat surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In microsurgery, the \u201cwait and see\u201d tactic generally does not work. If there is a problem, the solution is usually surgical. If we detect a circulatory disorder in the tissue in the early postoperative period (within the first 48 hours), we urgently take the patient back to the operating room. We call this \u201cre-exploration.\u201d This is not a failure; on the contrary, it is a heroic move to save the tissue.<\/p>\n<p>Statistics present an interesting piece of data: In about half of the cases taken back for repeat surgery, the main problem is not vascular occlusion but a \u201chematoma,\u201d meaning a collection of blood clot at the surgical site. Because we give our patients anticoagulant medications after surgery, there can be oozing-type bleeding. This blood accumulates within the tissue, hardens, and compresses the vessels from the outside. In this case, what we do is simply remove that blood collection. The moment the pressure is relieved, the vessel starts working again and the tissue pinks up within seconds. However, if there is a true vascular occlusion (thrombosis), it is necessary to excise that segment and suture it again. Timing is everything here; if it is delayed, the tissue may be lost irreversibly.<\/p>\n\t<div id=\"text-2815009457\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-2815009457 {\n  font-size: 1.25rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-3873163927\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3873163927-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-are-vascular-repairs-performed-with-microsurgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3873163927-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How are vascular repairs performed with microsurgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3873163927-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3873163927-label\">\n\t\t\t\n<p>Microsurgical vascular repair is performed by suturing end-to-end vessels smaller than a millimeter using specialized microscopes and fine suture materials. This technique is used to preserve the viability of tissues and organs.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-518659539\" class=\"accordion-item\">\n\t\t<a id=\"accordion-518659539-label\" class=\"accordion-title plain\" href=\"#accordion-item-in-which-cases-is-microsurgical-vascular-repair-necessary?\" aria-expanded=\"false\" aria-controls=\"accordion-518659539-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>In which cases is microsurgical vascular repair necessary?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-518659539-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-518659539-label\">\n\t\t\t\n<p>In traumatic amputations, lacerations, vascular injuries, finger or limb replantations, and free tissue transfers, microsurgical vascular repair becomes mandatory. It is a critical step to restore blood flow.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1783334391\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1783334391-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-there-a-risk-of-vascular-occlusion-after-vascular-repair?\" aria-expanded=\"false\" aria-controls=\"accordion-1783334391-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is there a risk of vascular occlusion after vascular repair?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1783334391-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1783334391-label\">\n\t\t\t\n<p>Yes, a clot may form inside the vessel in the early period. This can lead to occlusion and tissue loss. Therefore, close postoperative monitoring and anticoagulant therapy are important.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2424700839\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2424700839-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-recovery-process-like-in-patients-who-undergo-microsurgical-vascular-repair?\" aria-expanded=\"false\" aria-controls=\"accordion-2424700839-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the recovery process like in patients who undergo microsurgical vascular repair?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2424700839-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2424700839-label\">\n\t\t\t\n<p>The recovery process depends on the patient\u2019s general condition, the location of the injury, and the vessel quality. After successful microsurgery, the first 72 hours are critical; full recovery may take weeks and physical therapy may be required.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3929608011\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3929608011-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-fine-are-the-suture-materials-used-in-microsurgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3929608011-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How fine are the suture materials used in microsurgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3929608011-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3929608011-label\">\n\t\t\t\n<p>Microsurgical sutures are generally 9-0 or 10-0 in thickness and as thin as human hair. With these fine sutures, vessel ends are precisely connected and the risk of vascular occlusion is reduced.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-159130939\" class=\"accordion-item\">\n\t\t<a id=\"accordion-159130939-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-does-the-failure-rate-in-vascular-repairs-depend-on?\" aria-expanded=\"false\" aria-controls=\"accordion-159130939-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What does the failure rate in vascular repairs depend on?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-159130939-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-159130939-label\">\n\t\t\t\n<p>Failure is associated with the extent of vascular damage, delayed intervention, smoking, systemic diseases such as diabetes, and inadequate surgical technique. Postoperative care also directly affects success.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-186314776\" class=\"accordion-item\">\n\t\t<a id=\"accordion-186314776-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-microsurgical-vascular-repair-successful-in-children?\" aria-expanded=\"false\" aria-controls=\"accordion-186314776-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is microsurgical vascular repair successful in children?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-186314776-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-186314776-label\">\n\t\t\t\n<p>Although vessels are thinner in children, microsurgical success rates are high because the healing potential of tissues is strong. Positive outcomes are achieved when performed by experienced teams.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1943593559\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1943593559-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-signs-signal-a-complication-after-vascular-repair?\" aria-expanded=\"false\" aria-controls=\"accordion-1943593559-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which signs signal a complication after vascular repair?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1943593559-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1943593559-label\">\n\t\t\t\n<p>Coldness, paleness, purple discoloration, sudden swelling, or bleeding may indicate vascular occlusion. These signs require urgent evaluation.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-576938919\" class=\"accordion-item\">\n\t\t<a id=\"accordion-576938919-label\" class=\"accordion-title plain\" href=\"#accordion-item-are-anticoagulants-used-in-patients-who-undergo-microsurgical-vascular-repair?\" aria-expanded=\"false\" aria-controls=\"accordion-576938919-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Are anticoagulants used in patients who undergo microsurgical vascular repair?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-576938919-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-576938919-label\">\n\t\t\t\n<p>Yes, low-dose aspirin or similar blood-thinning medications are generally used. This treatment is continued for the duration recommended by the surgeon.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2683987140\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2683987140-label\" class=\"accordion-title plain\" href=\"#accordion-item-when-can-sports-or-physical-activity-be-resumed-after-microsurgical-vascular-repair?\" aria-expanded=\"false\" aria-controls=\"accordion-2683987140-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>When can sports or physical activity be resumed after microsurgical vascular repair?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2683987140-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2683987140-label\">\n\t\t\t\n<p>After vascular healing is complete and with the doctor\u2019s approval, light activities can generally be started within 6\u20138 weeks. Returning to sports that require full performance may take longer.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2503735919\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2503735919-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-vascular-repairs-(microsurgery)?\" aria-expanded=\"false\" aria-controls=\"accordion-2503735919-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which department or doctor should be consulted for Vascular Repairs (Microsurgery)?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2503735919-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2503735919-label\">\n\t\t\t\n<p>Vascular repairs, especially in cases requiring microsurgery, fall within the specialty of the Department of Plastic, Reconstructive and Aesthetic Surgery. Such delicate procedures should be performed by experienced plastic surgeons trained in microsurgery who work under a microscope.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1373054107 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1469106038 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1909,"parent":1906,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-1910","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1910","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/comments?post=1910"}],"version-history":[{"count":2,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1910\/revisions"}],"predecessor-version":[{"id":2004,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1910\/revisions\/2004"}],"up":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1906"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media\/1909"}],"wp:attachment":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media?parent=1910"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}