Krisha Hospital

Reclaim dexterity & precision with advanced hand microsurgery

Hand Microsurgery

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    What is hand microsurgery?

    Hand microsurgery is a specialized surgical technique that involves the use of a microscope to perform precise, delicate procedures on the hand and upper extremity. It is often used for repairing injuries to nerves, blood vessels, tendons, and bones in the hand, fingers, and forearm. The technique allows for a higher degree of accuracy than traditional methods, making it ideal for complex reconstructions.

    Hand microsurgery is commonly used to treat traumatic injuries, congenital anomalies, and various conditions that affect the soft tissues and nerves of the hand. This advanced procedure offers the potential for restoring both the function and aesthetic appearance of the hand.

    Hand microsurgery, હાથની માઇક્રોસર્જરી

    Conditions treated with hand microsurgery

    Hand microsurgery can be used to address a variety of conditions that require intricate and detailed surgical interventions. These include, but are not limited to:

    • Traumatic hand injuries: Severe cuts, crush injuries, or avulsions that damage nerves, tendons, and blood vessels.

    • Nerve injuries: Repairing severed or damaged nerves in the hand, fingers, or forearm to restore sensation and movement.

    • Replantation of severed fingers: Reattaching fingers or parts of the hand that have been completely severed.

    • Tendon & Ligament repairs: Reconstructing torn or damaged tendons and ligaments to restore hand function.

    • Congenital hand deformities: Correcting birth defects or congenital anomalies that affect the hand’s structure and function.

    • Dupuytren’s contracture: Releasing tight tendons and connective tissues to improve hand function in individuals with this condition.

    • Arteriovenous malformations: Surgical management of abnormal blood vessel structures in the hand.

    Hand microsurgery in Ahmedabad

    Hand microsurgery is an advanced surgical technique that requires precision, skill, and specialized equipment. The surgery typically involves delicate repairs or reconstructions of the hand, tendons, nerves, blood vessels, or bones, often following traumatic injuries or congenital conditions. Below is a more detailed breakdown of the typical steps involved in the process:

    1. Pre-surgery evaluation

    The pre-surgery evaluation is an essential step that helps the surgical team assess the nature of the injury or condition, ensuring the patient is well-prepared for surgery.

    • Medical assessment & Physical examination: A detailed medical history is taken, focusing on any existing health conditions (such as diabetes, blood pressure issues, or infections) that could affect the surgery or recovery. The hand will be thoroughly examined to understand the extent of the injury or condition. The surgeon will assess function, sensation, blood flow, and structure.

    • Diagnostic imaging: To better understand the injury or condition, the surgeon may order diagnostic imaging tests such as X-rays, MRIs, or CT scans. These images help identify fractures, soft tissue damage, nerve involvement, and other factors critical for planning the surgery.

    • Discussion of surgical goals, risks, and expected outcomes: The surgical team will explain the procedure in detail, discussing how the surgery will be performed, the expected outcomes, and the possible risks. They will also answer any questions about the recovery process and rehabilitation. It’s important that patients have a clear understanding of what to expect.

    2. Surgical procedure

    The surgical process itself is intricate and requires both advanced technology and skill. Here’s a step-by-step look at what typically happens during the surgery:

    • Anesthesia: Depending on the complexity of the surgery, the patient is administered either general anesthesia (where the patient is fully asleep) or regional anesthesia (numbing the specific area while the patient remains awake). General anesthesia is more commonly used for extensive procedures to ensure the patient is entirely comfortable and pain-free.

    • Microsurgical techniques: Hand microsurgery relies on specialized microscopes and fine surgical instruments. The surgeon uses the high-powered microscope to magnify the tiny structures of the hand—such as nerves, tendons, and blood vessels—allowing for detailed and precise repairs. The high magnification enables the surgeon to visualize and work on structures as small as 1 millimeter, offering a level of precision impossible with traditional methods.

      The surgical team also uses fine instruments such as micro forceps, micro scissors, and very thin sutures to perform the repairs. For nerve and blood vessel reconnection, tiny sutures are used to ensure the best chance of restoring function and avoiding complications like scarring or misalignment.

    • Reconstruction: Based on the type of injury or condition, the surgeon will either repair or reconstruct the affected area. Some of the more complex procedures include:

      • Reattaching severed fingers or parts of the hand: When a finger or part of the hand is severed (e.g., in a traumatic accident), the surgeon will reconnect the blood vessels, nerves, tendons, and ligaments using microsurgical techniques. This may involve replanting the finger or hand, which requires extraordinary precision.

      • Nerve repair: If nerves have been severed or damaged, the surgeon will carefully realign and reconnect them. This process is crucial for restoring sensation and motor function in the hand.

      • Tendon & Ligament repairs: Damaged tendons or ligaments are repaired or reconstructed to restore proper movement and strength to the hand.

      • Reconstructive surgery: In cases of congenital deformities or severe damage, the surgeon may perform more extensive reconstruction to restore the hand’s appearance and functionality.

    3. Post-surgery phase (Rehabilitation & Long-term care)

    After the surgery, patients enter the recovery phase, which focuses on ensuring proper healing, minimizing complications, and gradually restoring hand function. This phase involves a combination of pain management, immobilization, regular monitoring, rehabilitation, and long-term care.

    • Pain management: Post-surgery, patients may experience discomfort, which is managed with medications such as oral pain relievers or nerve blocks. These are tailored to the surgery’s intensity and the patient’s individual needs.

    • Immobilization: To ensure proper healing, the hand may be placed in a splint or cast for the first few days or weeks. This limits movement, preventing disruption of the surgical repair, and helps protect delicate structures while healing.

    • Monitoring for complications: The surgical team will monitor the patient for potential complications such as infection, bleeding, or circulation problems. They will examine the surgical site for signs of inflammation, swelling, or redness, and will assess blood flow and nerve function to ensure the transplant or repair is healing as expected.

    • Physical therapy (Rehabilitation): After the initial healing phase, physical therapy becomes a critical part of the recovery process. Therapy begins with gentle exercises to maintain flexibility and prevent stiffness. As healing progresses, more advanced exercises are introduced to regain strength, dexterity, and coordination. These exercises are customized depending on the surgery and injury. The therapist also provides guidance on performing daily tasks such as gripping, lifting, and typing to regain independence.

    • Follow-up visits: Regular follow-up appointments with the surgeon are essential to track recovery. The surgeon will monitor healing progress, address any complications, and adjust the treatment plan as needed. In some cases, additional imaging tests may be conducted to evaluate the success of the surgery and ensure proper healing.

    • Gradual return to normal activities: Recovery times vary depending on the surgery’s complexity. While some patients may resume light activities within a few weeks, returning to strenuous activities, sports, or work that requires lifting heavy objects could take several months. The timeline for resuming normal activities depends on the individual’s healing progress and the specifics of their surgery.

    • Long-term care & maintenance: Even after the primary recovery period, ongoing care and maintenance are important for maintaining hand function. This may involve continued physical therapy, exercises to prevent stiffness, and occasional follow-up visits to monitor long-term results.

    How long does a hand microsurgery take?

    The duration of hand microsurgery can vary depending on the complexity of the procedure. Typically, hand microsurgery takes between 2 to 6 hours. The length of the surgery depends on factors such as:

    • The type of injury or condition being treated.
    • The extent of the reconstruction or repair required.
    • The need for nerve, tendon, or blood vessel reconnections.

    More complex cases, such as reattaching severed fingers or repairing multiple structures, may take longer. Your healthcare provider will give a more accurate estimate based on your specific needs.

    Benefits of hand microsurgery

    Hand microsurgery offers several significant benefits:

    • Precision: The use of a microscope allows surgeons to work with a high degree of accuracy, even on the smallest structures.

    • Restoration of function: Many procedures aim to restore functionality, such as the ability to move fingers or regain sensation in the hand.

    • Aesthetic outcomes: Microsurgical techniques improve the overall appearance of the hand, ensuring a more natural and functional result.

    • Minimise scarring: Due to the small, precise incisions made, scarring is often minimal compared to traditional surgery.

    Risks or potential complications of hand microsurgery

    Like any surgical procedure, hand microsurgery carries some risks, including:

    • Infection: Although rare, infection is a potential risk, particularly when working with delicate tissues.

    • Nerve damage: In some cases, nerves may be further damaged during the procedure, leading to a loss of sensation or function.

    • Rejection of transplanted tissue: If the surgery involves tissue grafts or replantation, there is a risk of the body rejecting the transplanted tissue.

    • Poor healing: In certain cases, the hand may not heal as expected, requiring further treatment or surgery.

    • Scarring: While efforts are made to minimize scarring, some patients may experience visible scars, especially in complex cases.

    When to contact a healthcare provider?

    After hand microsurgery, it’s important to monitor your recovery and contact your healthcare provider if you experience any of the following:

    • Signs of infection: Increased redness, swelling, or drainage from the surgical site, or a high fever.

    • Severe pain: Pain that is not relieved by prescribed medications or worsens over time.

    • Numbness or loss of sensation: Inability to feel or move your hand or fingers.

    • Color or temperature changes: Persistent discoloration or coldness in your hand.

    • Wound complications: If the surgical site opens or shows signs of poor healing.

    • Difficulty with rehabilitation: If you’re unable to perform exercises or notice no improvement in hand function.

    If you’re unsure about any symptoms, it’s always a good idea to contact your provider for guidance.

    What makes us the best hospital for hand microsurgery in Ahmedabad?

    We are committed to providing exceptional care for hand microsurgery through advanced techniques, a team of experienced specialists, and a patient-centric approach. Here’s why we are considered the best choice for hand microsurgery in Ahmedabad:

    Expertise of Dr. Karn Maheshwari

    He is a highly skilled hand & wrist surgeon specialized in hand microsurgery. His specialized expertise ensures that you receive the most effective, precise treatment tailored to your specific needs.

    Personalized treatment plans

    We believe that no two patients are the same. Dr. Maheshwari tailors each treatment plan based on your specific symptoms, lifestyle, and preferences, ensuring you get the most effective and least invasive care possible.

    Minimally invasive surgery

    When surgery is necessary, we use the latest techniques to reduce scarring, shorten recovery times, and get you back to your daily activities faster.

    Comprehensive physiotherapy

    Our in-house physiotherapy team, led by Dr. Maheshwari, provides targeted rehabilitation exercises post-surgery to ensure optimal recovery and restore hand function as quickly as possible.

    State-of-the-art facility

    Our hospital is equipped with modern medical technologies, ensuring precise diagnostics and advanced treatment options for every patient.

    Patient-centric care

    From your first consultation to your follow-up care, our team is dedicated to providing a comfortable, compassionate experience. We prioritize open communication, answering all your questions and keeping you informed every step of the way.

    Awards & Achievements

    What our patients say about their hand treatment

    FAQs about hand microsurgery

    To schedule an appointment, you can call our hospital or book an appointment online. Our team will assist you with the scheduling process and provide any necessary information regarding your consultation.

    During your first consultation, we will conduct a thorough evaluation, review your medical history, and assess the injury or condition requiring microsurgery. This may include imaging studies, such as X-rays or MRIs, to understand the extent of damage and the best treatment approach.

    It’s helpful to bring a list of your current medications, a record of your symptoms, and any relevant medical history. If you have previous medical reports or imaging related to your injury, please bring those as well.

    Yes, we accept various insurance plans. It’s best to check with your insurance provider for specific coverage details regarding consultations, diagnostic tests, and surgery-related expenses.

    Recovery varies by individual and the type of microsurgery performed. In general, patients can expect a gradual recovery process, with initial healing taking a few weeks and full recovery taking several months. Our team provides detailed post-operative care instructions to support your recovery.

    Yes, we offer physiotherapy services as part of the recovery process for hand microsurgery. Our physiotherapists will work with you to develop a personalized rehabilitation program aimed at restoring function, strength, and mobility in your hand.

    In most cases, hand microsurgery requires scheduling a separate appointment after your consultation. The procedure will be planned based on the complexity of the injury and your medical needs.

    Wait times can vary depending on the severity of the injury, surgical availability, and other factors. Our team will provide you with information regarding the expected timeline for surgery during your consultation.

    We offer a variety of diagnostic tests, including X-rays, MRIs, and CT scans, to assess the injury or condition and determine the best approach for microsurgery. These tests help us identify the extent of nerve, tendon, or blood vessel damage.

    Before surgery, we may advise you to avoid smoking, blood-thinning medications, and alcohol consumption, as these can affect healing and increase the risk of complications. Our surgical team will provide specific instructions tailored to your needs before your procedure.

    Patient safety is our top priority. We follow strict protocols for surgical procedures, including pre-operative assessments, sterilization techniques, and continuous monitoring during and after surgery to minimize risks and ensure a safe environment.

    The need for an overnight stay depends on the complexity of the surgery. Most hand microsurgeries are performed on an outpatient basis, allowing patients to go home the same day. However, if there are complications or special considerations, an overnight stay may be recommended.