Free flap reconstruction, perforator flaps, digit replantation, nerve repair — advanced microsurgery with 1,000+ procedures performed by Dr. Pranav Thusay.
Reconstructive Microsurgery uses an operating microscope to perform delicate surgery on blood vessels and nerves as small as 0.3–2 mm in diameter. It is the highest level of surgical complexity in plastic surgery — used to reconstruct limbs, restore function after trauma, rebuild tissue after cancer resection, and replace structures lost to accident or disease.
A free flap is a block of living tissue (skin, fat, muscle, bone or a combination) that is completely detached from the body, transferred to the area requiring reconstruction, and reattached by connecting its blood vessels microsurgically. It is used when no local tissue is available to cover a defect — particularly after cancer removal, major trauma, or radiation damage.
In experienced hands, free flap success rates exceed 95–98%. Dr. Thusay has performed over 1,000 microsurgical procedures. Success depends on careful patient selection, meticulous surgical technique, and rigorous post-operative monitoring.
Not always. Replantation feasibility depends on the level of injury, the condition of the severed part, the patient's overall health and the time elapsed since the injury. Dr. Thusay assesses all replantation candidates urgently. Clean-cut amputations with short warm ischaemia time have the best outcomes.
Depending on the complexity, free flap surgery takes 4–10 hours and is performed under general anaesthesia. Patients require ICU monitoring for 24–48 hours post-operatively to detect and manage any vascular compromise early.
Recovery depends on the procedure. Hospital stay: 5–10 days typically. Full recovery: 4–12 weeks depending on the underlying condition and donor site. Dr. Thusay coordinates post-operative care with the treating oncologist, orthopaedic surgeon or other specialists as needed.
Nerve repair involves either direct suture of a cut nerve or bridging a nerve gap using a nerve graft (from the patient or a processed allograft). Recovery of nerve function occurs at approximately 1 mm/day and may take months to years depending on the distance to the target muscle.
Yes. Dr. Thusay performs complex microsurgery in Pune with facilities that include ICU support and dedicated post-operative monitoring. He is one of the few surgeons in Pune with dedicated subspecialty microsurgical training from Bern, Switzerland.
Reconstruction is planned in coordination with the oncological treatment team. Post-mastectomy and head-neck reconstruction are timed appropriately relative to chemotherapy and radiation to ensure both oncological safety and optimal reconstruction outcomes.
1,000+ microsurgical procedures performed — the expertise your case demands.