From the Research
The first free tissue transfer was performed by Dr. Harry J. Buncke in 1964, as reported in various historical accounts and studies, including a recent overview of the evolution of breast reconstructions with free flaps 1. This groundbreaking procedure laid the foundation for modern microsurgery and free tissue transfer techniques. Dr. Buncke developed specialized instruments and sutures to perform these delicate operations, as standard surgical tools were too large for such precise work. His innovation was revolutionary because it allowed surgeons to transplant tissue from one part of the body to another while maintaining its blood supply, ensuring tissue survival. This technique fundamentally changed reconstructive surgery by enabling the transfer of specialized tissues (such as muscle, bone, or skin) to repair complex defects that previously had limited treatment options. Some studies have discussed the history and evolution of microsurgical free tissue transfers, including their value in modern reconstructive surgery 2, and outcomes of microsurgical free tissue transfer performed on international surgical collaborations in low-income and middle-income countries 3. However, the most relevant and recent study on the topic of the first free tissue transfer is the 2023 study on the evolution of breast reconstructions with free flaps, which mentions the first publication of free tissue transfer for breast reconstruction in 1976 by Fujino, but does not provide information on the first free tissue transfer in general 1. Therefore, based on the available evidence and historical accounts, Dr. Harry J. Buncke is credited with performing the first free tissue transfer in 1964. Key points to consider when evaluating the evidence include:
- The historical context of the first free tissue transfer
- The development of microsurgical techniques and instruments
- The impact of free tissue transfer on reconstructive surgery
- The evolution of breast reconstructions with free flaps
- The outcomes of microsurgical free tissue transfer in different settings.