Hand Surgery

Hand Surgery

What do you need to know about hand surgery?

Plastic surgery can correct many different kinds of impairments, defects and imperfections of the hands. hand-massage Medical There are specialized procedures associated with treating conditions which can cause pain, alter normal functionality, and affect the flexibility and strength of whole hand (arm, wrist and fingers). These surgeries can not only correct impairments resulting from traumatic injuries to the hand but also birth defects. Some of the most prominent conditions that hand surgeries have successfully treated include:

  1. Dupuytren’s Contracature: This is a condition whereby the movement and functionality of the hand is virtually disabled due to the formation of very think bands of tissues which resemble scars. These bands appear on the palm of the hand and in severe conditions, may extend up to the fingers as well. Dupuytren’s contracture restricts carpal movements and the overall movement of the hand.
  2. Carpal Tunnel Syndrome: Carpal Tunnel Syndrome is a common condition of the hand that results from excess pressure to the median nerve located inside the wrist, also referred to as the carpal tunnel. Some of the symptoms or characteristics of this condition include altered sensation, dull, aching pain, weakness of the hand and fingers, numbness of the hand and fingers and generalized pain in hand. Carpal tunnel syndrome is also associated with fluid retention which may occur during pregnancy, joint conditions such as rheumatoid arthritis, and repetitive, excessive motion of the hand.
  3. Rheumatoid Arthritis: Rheumatoid Arthritis causes inflammation of the joints resulting in pain and restriction of movement. When it occurs in hands, it can result in swelling, disfigurement of the fingers and movement impairment.

Whether or not you are eligible for hand surgeries depends upon a few important factors associated with health, drug and medical histories. The ideal candidates must:

–          Not have history of other serious medical illnesses or systemic disorders that have the potential to delay the healing process

–          Not be smokers

–          Be realistic and cooperative about the surgery and its outcomes

–          Commit to following all post surgical instructions provided by the surgeon


Are there any risks and complications associated with hand surgeries?

Similar to all invasive medical procedures performed globally, hand surgeries also have several potential risks and complications that patients must discuss with their surgeons prior to the procedure. Hand Surgery MedicalAll patients must ensure that their medical histories are assessed beforehand. Leading plastic surgeons first acquire the consent of their patients as part of medical protocol. Some of the risks and complications are the related to hand surgeries include the following:

–          Abnormal bleeding or formation of a hematoma

–          Formation of blood clots

–          Risks and reactions associated with anesthesia administration

–          Infection at the site of surgery

–          Permanent scarring at the site of surgery

–          Irregularities or changes in the contour of the skin

–          Altered sensation

–          Complications associated with the cardiac and pulmonary systems

–          Deep venous thrombosis

–          Abnormal swelling after surgery

–          Discoloration of the skin

–          Delayed healing of the sutures

–          Post surgical pain

–          Allergic reaction to materials used during surgery

–          Damage to nerves and vessels due to accidents or improper technique used during surgery

–          Chances of revisional surgery due to unsatisfactory results

What are the steps involved in hand surgeries?

  1. Administration of anesthesia: Hand surgeries may either be performed on local or general anesthesia. The choice of drug and the mode of administration may be selected based on the preference of the surgeon and the medical history of the patient.
  2. Creation suitable incisions: The primary focus of a hand surgery is to treat trauma. Surgeons generally aim to restore the function of the tendon. In case of carpal tunnel syndromes, it is essential to relieve the unwanted pressure on the median nerve causing pain and impaired movement. For this purpose, an incision is created extending all the way from the centre of the palm to the wrist, easing the pressure on the nerve. These days, another less invasive procedure is being used which is known as the endoscopic carpal tunnel release, involving minute incisions and the insertion of an endoscope to release the pressure on the nerve.
    Syndactyly is a name given to the condition whereby fingers are fused together as a birth defect. The fingers may either be joined by the skin, or the bones. Fortunately, hand surgeries can restore normal functionality as well as aesthetics of such birth defects as well. These surgeries involve specialized flap procedures such as Z plasty and skin grafting techniques for desired results.
  3. Closing incisions: Incisions are closed with different materials varying with different conditions treated using hand surgeries.



Hand Surgery female 1Results and recovery from hand surgery (Click here to view Before & After Photographs):

It takes several months for the swelling and incision marks to dissipate after surgery, and for the final results of the procedure to be fully appreciated. Patients by be prescribed analgesics and antibiotics to prevent chances of post surgical pain and infection respectively.
Hand surgeries allow for ideal movement and mobility of the wrists and fingers which had otherwise been impaired by trauma or birth defects, restoring full functionality and even aesthetics.