Reconstructive & Microvascular Surgery in Lucknow, UP

Cancer surgery removes what the disease has claimed. Reconstruction gives back what daily life needs — the ability to speak, to swallow, to face a mirror. At CoreOnco, both happen in the same operation, under one team.

What microvascular reconstruction means

When a tumour is removed from the jaw, tongue or face, it leaves a gap that ordinary stitching cannot close. Microvascular reconstruction moves a piece of living tissue — often with its own bone, skin and blood vessels — from elsewhere in your body to rebuild that gap. The blood vessels, thinner than a matchstick, are reconnected under a microscope so the transplanted tissue stays alive.

This is what allows a patient to have a section of jaw removed in the morning and leave hospital with a rebuilt, living jaw — not a hole, not a plate alone, and not a second surgery some months later.

Why we reconstruct in the same operation

Reconstruction done immediately, in the same anaesthetic, means one recovery instead of two, no waiting period living with the defect, and a better functional result — the tissues are rebuilt before scarring can set in. It requires a surgical team trained in both cancer clearance and microvascular technique, which is exactly the combination Dr. Akash Rajput trained for at Tata Memorial and Ganga Hospital, with cadaveric free-flap training on a Royal College of Surgeons of Edinburgh course.

The common reconstructions we perform

01Fibula free flapA segment of the calf bone rebuilds the jaw — the leg heals and walks normally without it
02Radial forearm flapThin, flexible skin from the forearm rebuilds the tongue and mouth lining
03ALT (thigh) flapRebuilds larger defects of the cheek, neck and face
04PMMC and local flapsReliable regional options when a free flap is not the right choice

What recovery honestly looks like

This is major surgery. Expect a hospital stay of one to two weeks, a period of tube feeding while the mouth heals, and speech and swallowing therapy as part of recovery — not as an afterthought. Most patients return to understandable speech and a normal diet; how quickly depends on how much was removed and rebuilt. We will tell you what to expect for your specific operation before you consent to it.

Common questions

Will I look like myself after surgery?

The honest answer: reconstruction aims to restore, and modern techniques are very good, but no surgeon should promise you will look exactly as before. What we can say is that rebuilding is planned before removal begins, and appearance is treated as an outcome that matters — not a luxury.

Where does the replacement tissue come from?

Usually your own leg, forearm or thigh, chosen to match what needs rebuilding. The donor site heals with a scar but without loss of function — patients walk on a leg that has donated fibula bone.

Is this available under Ayushman Bharat?

Yes — reconstruction performed as part of covered cancer surgery falls within the scheme packages for eligible families. Our counsellor confirms your specific cover before admission.

What if I have already had the tumour removed elsewhere?

Delayed reconstruction is possible and we do assess such cases. Bring your operation notes and current scans; the options depend on what was removed and how the area has healed.

Cancers we treat with reconstructive & microvascular surgery

01Oral & Tongue Cancer →Mouth, tongue, cheek, gum and lip — our most performed surgery
02Head & Neck Cancer →Throat, larynx, thyroid, salivary glands, jaw reconstruction
03Musculoskeletal Cancer →Bone and soft-tissue sarcoma, limb preservation