Armamentarium: Radial Forearm Free Flap

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  • Scalpel, scissors, and dissecting instruments for tissue dissection and preparation.
  • Microsurgical instruments, including microforceps, microscissors, and microneedle holders, for precise microvascular anastomosis.
  • Bipolar cautery or diathermy for hemostasis.
  • Vessel loops or vessel clamps for temporary occlusion of blood vessels.
  • Microvascular clamps for vessel occlusion during anastomosis.
  • Suture materials, such as 8-0 or 9-0 nylon or polypropylene sutures for microvascular anastomosis and 4-0 or 5-0 absorbable sutures for wound closure.

  • Doppler Probe: Used for identifying and assessing blood flow in vessels during dissection and anastomosis.
  • Tourniquet: A pneumatic tourniquet may be used to achieve bloodless surgical fields during the procedure.
  • Flap Harvesting Instruments: Dermatome for harvesting skin grafts from the forearm. Tissue retractors and elevators for exposing and dissecting tissue layers. Hemostatic agents, such as surgical clips or electrocautery, for controlling bleeding during flap harvesting.
  • Microvascular Anastomosis Equipment: Operating microscope with appropriate lighting. Microsurgical instruments mentioned earlier. Loupes or magnifying glasses for surgeons who do not use a microscope. Microvascular anastomosis couplers (optional), which can facilitate faster anastomosis in some cases.