Microsurgery:
When reconstructive microsurgery emerged in the 60’s (1) , many
surgeons were skeptical about it; they thought that such a big
surgery could not rely on the anastomosis of such little vessels;
this meant an unnecessary risk when they had pediculated flaps
available at that time, which were safer.
The best example of the above is
that in many countries, surgeons prefer performing breast
reconstruction with TRAM free flaps instead of pediculated flaps,
arguing among other things, something that might have seemed
unbelievable when microsurgery was first used: a lower incidence
of necrosis.
Ten years ago, it was the patrimony
of University Centers, nowadays is a technique used at every level,
even in the private ambit in small clinics without the complex
surgical equipment recommended at first. Microsurgery nowadays is
used reliably in situations considered as high risk in the past
such as irradiated fields, older patients, and patients with
peripheral vascular occlusive disease and diabetes mellitus
