What Is Microsurgery?
Microsurgery involves the repair of blood vessels and nerves measuring 1–3 mm in diameter under high-powered magnification. It enables procedures impossible with the naked eye — reconnecting a severed finger, transferring living tissue from one part of the body to another, and reconstructing complex defects after trauma or tumor removal.
Digital Replantation
When a finger or hand is amputated, replantation may be possible. Not all amputations are suitable — the decision depends on amputation level, mechanism of injury, condition of the part, and patient factors. Dr. Richards performs replantation and is available for urgent consultation when patients present with traumatic amputations.
Free Tissue Transfer
When a wound cannot be closed with local tissue, free tissue transfer moves a block of living tissue from a donor site along with its blood supply, reconnected microsurgically at the recipient site. Free flaps are used for complex wound coverage after severe trauma, tumor resection, infection, or failed prior surgery.
Why This Expertise Matters
Microsurgical training is not universal — many hand surgeons do not perform replantation or free tissue transfer. Dr. Richards' background in plastic surgery and fellowship training ensures even the most complex injuries can be managed comprehensively under one surgeon's care.