Microsurgery

What is Microsurgery?

Microsurgery is a highly specialized type of surgery during which a hand surgeon uses miniaturized instruments to repair complex injuries. Microsurgery is used to operate on very small structures such as the nerves and arteries of the hands, wrists, and forearms.

Using a microscope and miniaturized instruments, as an outpatient procedure with regional anesthesia in most cases, the surgeon is able to repair cut, scarred and compressed nerves and arteries.

Microscopic enhanced magnification up to 40 times allows the surgeon to make stitches that are smaller than the width of a human hair. Using microsurgery, even blood vessels and nerves that are nearly imperceptible can be repaired with minimal scarring.

Depending on the case, sometimes tissue is removed from other parts of the body and moved to the microsurgical site to enhance sensation, movement, and skin and soft tissue coverage.

Can Every Hand Surgeon Perform Microsurgery?

Microsurgery poses a unique set of challenges for successful outcomes, which requires a skilled hand surgeon with extensive experience and training. If you have recently been in an accident, or were recommended for a complex hand or wrist surgery, it is important to work with a highly specialized surgeon.

When operating on the hands and other small structures in the body, a surgeon’s skill can mean the difference between a functional hand and one that is more limited in mobility and sensation.

Dr. Jason Pruzansky completed his medical school and orthopedic surgery training at the Mount Sinai Medical Center, making him especially skilled in advanced surgical techniques – including microsurgery. Dr. Pruzansky completed his subspecialty fellowship in hand and upper extremity surgery at the University at Buffalo, where he excelled at traumatology, reconstructive and microsurgery. He regularly works with patients in need of substantial reconstruction after trauma. Patients can not only benefit from his skill in microsurgery, but also his unparalleled skills and insight, published research, and compassion.

Dr. Mark Pruzansky has over 30 years of experience, and he is in the top 2.1% of hand surgeons worldwide, having earned board certifications in Hand Surgery, Orthopaedic Sports Medicine, and Orthopaedic Surgery. With his special expertise in microsurgery, Dr. Mark Pruzansky has treated some of the most complex cases of hand injury through microsurgery in order to give his patients the best outcomes possible.

When is Microsurgery Needed?

Microsurgery is reconstructive surgery using small instruments and a microscope to reconstruct extremely small structures.

For this reason, microsurgery is often required in cases of substantial injury.

Following your examination by a HandSport Surgery Institute hand surgeon, you may be given a treatment plan that recommends microsurgery. At HandSport Surgery Institute, surgery is usually not our first option. Conservative treatments are used whenever possible. However, if an injury or condition requires microsurgery, Dr. Mark Pruzansky is one of the most accomplished hand microsurgeons internationally.

What Does a Microsurgery Entail

Microsurgery is a type of reconstructive surgery that requires a surgeon to have special expertise in operating the tools needed to repair extremely small structures.

Using a microscope, the surgeon is able to direct small instruments to repair an injured area. Because of the microscope’s strong magnification, Dr. Pruzansky is able to repair some of the smallest nerves and arteries in the hand.

Microsurgery is used to save digits and limbs from amputation and maximize use of an injured area, so this procedure may require the patient to be operated on for a longer period of time. Depending on the extent of your injuries, your hand surgeon will advise you on what to expect before, during, and after the procedure.

Recovering from a Microsurgery

Your team at HandSport Surgery Institute team will walk you through the recovery and aftercare process before your surgery. Most patients will benefit from occupational or physical therapy and pain medication to aid them through recovery.

If You Are Experiencing Pain Or Have Had An Accident, Please Contact Us

Please contact us as soon as possible to schedule an appointment with our talented team. Call Dr. Pruzansky at 212-249-8700 to schedule an appointment, obtain an accurate diagnosis, and start to restore comfort.

Microsurgery Videos

In the video below, Dr. Pruzansky treated a child with a severe injury using microsurgery.
A 2-year-old boy from the Catskills, accidentally got his hand stuck in a meat grinder. There was not a surgeon in town with the necessary microsurgical skills. The boy came to New York City in an attempt to save his fingers, hand and wrist.

A policeman had to use a pneumatic saw to cut and remove the grinder. Dr. Pruzansky cleaned the hand and then repaired three severely damaged fingers that were deeply lacerated and crushed at multiple points in each digit. The boy was able to regain most of the use of his fingers.

Call hand surgeon, Dr. Pruzansky, at 212-249-8700, to schedule an appointment and keep your hand and wrist healthy.