The term "free flap" refers to the technique that utilizes the transposition of tissues a significant anatomical distance requiring the complete separation of the tissues from the donor site in order to move them to the recipient site. Microsurgery refers to the re-connection of tiny blood vessels by hand sewing them together or using a coupler device under a microscope. Free Flap Microsurgery is vital in the success of the DIEP flap since the muscle is not used (such as in the TRAM flap), the tissue is based on tiny vessels and must be moved a significant distance.
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