
Microvascular Surgery in San Antonio
What is Microvascular Surgery?
Microvascular surgery is a specialized type of surgery used to repair very small blood vessels and nerves. These structures are often less than a few millimeters wide, so surgeons use a microscope to see them clearly and reconnect them with care and precision. The goal is to restore healthy blood flow and nerve function to the area being treated.
This technique is often used when tissue has been damaged due to injury, cancer removal, or infection. In some cases, healthy tissue from another part of the body is moved to the affected area. This process, called a free flap, helps rebuild what was lost and gives the body a better chance to heal.
At The Hand & Upper Extremity Center of San Antonio, microvascular surgery is an important part of how we treat complex injuries. It is especially helpful in restoring function after serious trauma to the hands, wrists, arms, or fingers.
Need advanced care after a serious hand or arm injury? At The Hand & Upper Extremity Center of San Antonio, our skilled surgeons offer specialized microvascular surgery to repair small blood vessels and nerves. With advanced techniques and personalized treatment plans, we help restore circulation, sensation, and function so you can heal and get back to what matters most.
When Is Microvascular Surgery Needed?
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Severe Trauma or Crush Injuries
Used in emergency situations to repair tissue and restore blood flow after major accidents.
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Tissue loss from infection, cancer removal, or trauma
Replaces missing or damaged tissue using flap procedures supported by microvascular repair.
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Blood vessel or nerve damage
Repairs small vessels or nerves that have been cut, stretched, or crushed to restore function.
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Complex fractures with soft tissue involvement
Supports healing in broken bones when surrounding tissue, nerves, or vessels are also injured.
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Reconstructive surgery
Helps rebuild areas after trauma or surgery by transferring healthy tissue and reconnecting blood supply.
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Limb salvage procedures
Used to save a finger, hand, or arm that might otherwise require amputation due to severe damage.
How Microvascular Surgery Works
When microvascular surgery is needed, your surgeon uses a high-powered microscope and specialized tools to carefully repair or reconnect small blood vessels and nerves. Depending on your condition, this may also involve transferring healthy tissue from another area of the body and restoring its blood supply to support healing.
These procedures are performed with a high level of precision to help preserve tissue, restore circulation, and improve overall function. At The Hand & Upper Extremity Center of San Antonio, our surgeons work closely with our in-house certified hand therapists to support your recovery and help you regain strength, movement, and sensation.








Why Choose The Hand & Upper Extremity Center of San Antonio for Microvascular Surgery
When you choose The Hand & Upper Extremity Center of San Antonio for your microvascular surgery needs, you're entrusting your care to a team of experienced professionals. Our physicians have a combined 100+ years of expertise in treating complex injuries to the hand, wrist, and upper extremity, and our hand surgery fellows bring additional specialized knowledge in microvascular and reconstructive techniques. Our dedicated staff is committed to your well-being, providing personalized care, and ensuring a successful recovery. By choosing our center, you're investing in the highest quality care available for your upper extremity.
Meet Our Physicians
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David P. Green, M.D.
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Mark Bagg, M.D.
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David W. Person, M.D., F.A.C.S.
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Ramesh C. Srinivasan, M.D.
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Kunj Desai, M.D., F.A.C.S.
OTHER Reconstructive & Trauma ISSUES WE CAN HELP WITH
Tendon Repair or Transfer
Joint and Ligament Reconstruction
Trigger Finger Surgery
Polydactyly Correction
Osteotomy
Dupuytren’s Contracture
Replantation
Forearm Fractures
Humerus Fractures
Did you know we offer in-house therapy?
Hand therapy is a merging of occupational and physical therapy theory and practice that combines comprehensive knowledge of the structure of the upper limb with function and activity. Using specialized skills in assessment, planning and treatment, hand therapists provide therapeutic interventions to prevent dysfunction, restore function and/or reverse the progression of pathology of the upper limb in order to enhance an individual’s ability to execute tasks and to participate fully in life situations.