Hand Surgery
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What is Congenital Hand Surgery?
Congenital hand surgery is a specialized field within plastic surgery that focuses on the evaluation, diagnosis, and treatment of congenital hand anomalies present at birth. These anomalies can affect the bones, tendons, ligaments, nerves, and soft tissues of the hand. The goal of congenital hand surgery is to improve hand function, appearance, and overall quality of life by correcting these congenital conditions through surgical intervention. This highly specialized area of plastic surgery often requires a skilled hand surgeon with expertise in pediatric and congenital hand disorders.
What is Hand Surgery Types?
Hand surgery encompasses various types of procedures aimed at treating a wide range of hand conditions, including:
Tendon injuries in the hand can occur due to trauma, overuse, or degeneration. Tendons are crucial for hand movement, and when they are damaged, it can lead to pain, weakness, and limited functionality. Hand surgeons employ various techniques, including suturing or grafting, to repair torn tendons. These procedures aim to restore the continuity of the tendon, allowing for proper hand function.
Nerve injuries in the hand can result from accidents, lacerations, or other traumatic events. These injuries can lead to loss of sensation, muscle weakness, or even paralysis in the affected hand. Hand surgeons perform nerve repair or grafting surgeries to reconnect damaged nerves. This surgical intervention aims to facilitate nerve regeneration and restore sensory and motor function in the hand.
Carpal tunnel syndrome is a common hand condition caused by the compression of the median nerve as it passes through the carpal tunnel in the wrist. Symptoms may include numbness, tingling, and pain in the hand and fingers. Surgery, known as carpal tunnel release, involves cutting the transverse carpal ligament to relieve pressure on the median nerve. This surgical procedure is often necessary to alleviate symptoms and prevent long-term nerve damage.
Masses or lumps in the hand can arise from various sources, such as cysts, tumors, or ganglion cysts. These growths can cause discomfort, pain, or aesthetic concerns. Surgical excision is a common approach to diagnose and treat these masses. During surgery, the mass is removed and sent for pathological examination to determine its nature, ensuring an accurate diagnosis and appropriate treatment.
Trigger finger, medically known as stenosing tenosynovitis, is a condition where a finger becomes locked in a bent position and then suddenly snaps or releases when straightened. This occurs due to inflammation or thickening of the tendon sheath in the affected finger. Surgical release of the affected tendon’s pulley system is a common procedure to resolve this issue. By releasing the constricting structures, the finger can move smoothly without catching or locking.
Dupuytren’s disease is a hand condition characterized by the progressive thickening and contracture of the palmar fascia. This leads to the development of nodules and cords in the palm and fingers, causing hand deformities and limiting finger extension. Surgical intervention, such as fasciectomy or needle aponeurotomy, aims to release the contracted tissue and restore finger mobility. The choice of procedure depends on the severity and extent of the contractures.
These various hand surgery types address a wide range of hand-related conditions, each tailored to the specific needs and circumstances of the patient. Hand surgeons carefully evaluate each case to determine the most suitable surgical approach for optimal outcomes and improved hand function.
What are the Hand Surgery Techniques?
Hand surgery techniques vary depending on the specific condition being treated. Common techniques include tendon repair, nerve repair or grafting, carpal tunnel release, excision of hand masses, tendon sheath release for trigger finger, and fasciectomy for Dupuytren’s disease. These procedures are typically performed under local or general anesthesia, and the choice of technique depends on the individual patient’s needs and the surgeon’s expertise.
What is the Pre-Operative Process for Hand Surgery?
The pre-operative process for hand surgery involves a comprehensive evaluation by a hand surgeon, including a detailed medical history and physical examination. Diagnostic tests, such as imaging studies, may be ordered to assess the extent of the condition. Pre-operative planning also includes discussing the procedure, anesthesia options, potential risks, and expected outcomes with the patient. Patients are typically instructed on pre-operative preparations, including fasting before surgery.
What is the Pos-Operative Process for Hand Surgery?
After hand surgery, patients are closely monitored during the immediate post-operative period to ensure a safe and comfortable recovery. Hand therapy and rehabilitation may be prescribed to optimize hand function and promote healing. Patients are advised on wound care, pain management, and activity restrictions during the recovery phase. Follow-up appointments with the hand surgeon are scheduled to assess progress and address any concerns.
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