siirdamiskirurgia

Siirdamiskirurgia is a term used in the Finnish-speaking medical community to describe a specialized class of reconstructive surgical procedures that involve the relocation of tissue or anatomical structures to achieve functional or aesthetic restoration. The word derives from the Finnish verbs “siirtää” (to move) and “kirurgia” (surgery). It is most commonly applied to procedures such as microsurgical tissue transfers, flap reconstructions, and the transposition of tendons or nerves in cases of trauma or congenital deformities.

The technique was first formally described in the 1970s in a series of papers published by Finnish orthopaedic surgeons, building on earlier work in microsurgery that emerged in the United States and Europe. Siirdamiskirurgia emphasizes meticulous microvascular anastomosis and tension-free tension adjustments to maximize graft survival. Operative protocols typically involve preoperative imaging, intraoperative Doppler assessment, and postoperative monitoring for perfusion and neurological function.

Clinical indications include limb salvage after severe burns, chest wall reconstruction after tumor resection, and craniofacial tissue transfer in cleft lip and palate repair. Outcomes reported in Finnish national registries show improved functional scores and reduced donor-site morbidity relative to older flap techniques. However, long-term data on graft durability remain limited, prompting ongoing research into tissue-engineered substitutes.

The practice of siirdamiskirurgia illustrates the integration of microsurgical precision with plastic and reconstructive principles, and it continues to evolve as imaging and biomaterials advance.