Abstract
Microsurgery is becoming more commonplace with the advent of better equipment and techniques. Christine M Kleinert was responsible for the first revascularisation of an incompletely amputated thumb in 1963, and since then the Kleinert Institute, Louisville, has been at the forefront of hand and microsurgery. Robert Acland has furthered research in this area and has developed a teaching course, which is delivered year round to fellows and visiting clinicians. Research links between Frankfurt and Louisville enabled this course to take place in Europe for the first time. Anyone who practises microsurgery within their specialty. This is normally commonplace in plastic, maxillofacial, paediatric, cardiac, vascular, neuro, and some orthopaedic and trauma surgery. Within my specialty (plastic surgery) microsurgery is an everyday practice, anastomosing nerves and blood vessels to restore sensation and revascularise after trauma or free tissue transfer. It is important to have experience as well as a sound basis and technique before performing microsurgery in an operative setting. A great deal. …
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