Medical Specialties

Specialties of Excellence

  1. Home
  2. Medical Specialties
  3. Specialties of Excellence
  4. Microsurgery

Supermicrosurgical Reconstruction for Sarcoma, Trauma, and Diabetic Foot

“Amputation is not the only answer. At Asan Medical Center, we salvage limbs.”

At Asan Medical Center, we specialize in supermicrosurgical reconstruction to preserve limbs and restore both form and function following oncologic resections, traumatic injuries, and diabetic foot complications. Our center is internationally recognized for its advanced microsurgical expertise and personalized reconstructive planning.

Sarcoma

Wide resections of soft tissue sarcomas often leads to significant tissue loss. We reconstruct these defects using free tissue transfers, restoring structural integrity, coverage, and mobility. Each flap is selected and tailored to the defect’s size, location, and functional needs, prioritizing both durability and aesthetic outcome.

Trauma

For complex traumatic wounds involving exposed bone, tendon, or neurovascular structures, we perform limb-salvage surgery using:

  • Perforator flaps for minimal donor site morbidity
  • Flow-through flaps to simultaneously reconstruct tissue and restore arterial continuity when needed

These methods preserve limb function while minimizing the risk of long-term complications.

Diabetic Foot

For patients with chronic ulcers or ischemic soft tissue loss, revascularization is followed by free flap reconstruction to prevent amputation and restore the ability to walk. Flaps provide durable coverage and enhance perfusion to ischemic tissue, creating an optimal environment for healing.

At Asan Medical Center, we have extensive experience with a wide variety of free flaps, including:

  • Anterolateral thigh (ALT) flap
  • Superficial circumflex iliac artery perforator (SCIP) flap
  • Deep inferior epigastric perforator (DIEP) flap
  • Medial sural artery perforator (MSAP) flap
  • Thoracodorsal artery perforator (TDAP) flap
  • Thin or superthin perforator-based flaps

Why Choose Asan Medical Center?

  • Highly experienced microsurgeons specializing in complex, high-precision vascular anastomoses
  • Preoperative ultrasonography for detailed vascular mapping and flap planning
  • Expertise in thin flap elevation, enabling reconstruction with tissue precisely tailored in thickness and contour to the defect
  • Advanced postoperative flap monitoring and care system, enhancing safety and optimizing outcomes

Our team collaborates closely with orthopedic surgery, vascular surgery, and infectious disease specialists to deliver integrated, results-oriented care.