Krisha Hospital

Regain strength & movement with precision hand replantation

Hand Replantation

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    What is hand replantation?

    Hand replantation is a highly specialized surgical procedure aimed at reattaching a severed hand or fingers to restore function and appearance. This procedure is commonly performed on patients who have suffered traumatic amputations due to accidents, violent injuries, or severe burns. The goal is to reconnect the bones, nerves, blood vessels, muscles, and tendons, allowing the hand to regain some of its original function.

    Unlike prosthetics, hand replantation offers a more natural look and the possibility of recovering sensory and motor functions. Successful replantation can dramatically improve the patient’s ability to perform essential daily activities like eating, typing, and holding objects.

    Hand replantation, હેન્ડ રિપ્લાન્ટેશન

    What conditions can hand replantation treat or manage?

    Hand replantation can be considered for individuals who have lost a hand or fingers due to various causes, including:

    • Traumatic hand amputations: Loss of a hand or fingers from accidents, severe injuries, or accidents at work.
    • Injuries from machinery: Amputations caused by machinery or industrial equipment.

    • Severe burns or trauma: Damage caused by accidents, fire, or other extreme injuries where traditional reconstructive surgery is not an option.

    • Accidents resulting in finger or hand loss: Replantation can help when reattachment is possible and will restore functionality.

    Hand replantation in Ahmedabad

    Hand replantation is a delicate, multi-stage process that requires expertise and precision. It involves a thorough pre-surgical evaluation to ensure the patient is suitable for the procedure, the complex surgical procedure itself, and extended post-operative care for optimal recovery. The ultimate goal is to restore as much functionality and sensation as possible to the reattached hand.

    1. Pre-surgery evaluation

    Before proceeding with hand replantation surgery, a comprehensive evaluation is performed to determine the patient’s suitability for the procedure.

    • Medical assessment & Physical examination: The surgeon will review your medical history, examine the condition of your hand, and assess the extent of the injury or deformity. This evaluation helps determine if hand microsurgery is the right option for you.

    • Diagnostic imaging: The surgeon may order imaging tests like X-rays, MRIs, or CT scans to identify fractures, soft tissue damage, nerve involvement, and other issues that need to be addressed.

    • Discussion of goals & risks: The surgical team will explain the procedure, outline the potential risks, and discuss the expected outcomes. They will answer any questions and provide a clear understanding of the process and recovery.

    2. Surgical procedure

    • Anesthesia: Depending on the complexity, the patient will be given either general anesthesia (sleeping through the procedure) or regional anesthesia (numbing the area). Most hand microsurgery procedures are performed under general anesthesia for patient comfort.

    • Microsurgical techniques: Specialized microscopes and fine surgical tools are used to magnify the structures of the hand, allowing the surgeon to work on delicate components like nerves, blood vessels, and tendons. High-powered magnification (up to 20x) ensures precision in even the smallest structures.

    • Reconstruction & Repair: Depending on the injury or condition, the surgeon will perform the necessary repairs or reconstructions:

      • Reattaching severed fingers: Reattaching parts of the hand or fingers that have been completely severed by reconnecting blood vessels, nerves, and tendons.

      • Nerve repair: Realigning and reconnecting damaged nerves to restore sensation and motor function.

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

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

    • Pain management: Post-operative care includes pain relief medications, which may include oral pain relievers or nerve blocks to manage discomfort.

    • Immobilization: The hand may be immobilized using a splint or cast for the first few weeks to ensure proper healing and to prevent disruption of the surgical repair.

    • Monitoring for complications: Our surgical team will monitor the hand closely for signs of infection, bleeding, or circulation issues. Regular check-ups will ensure the healing process is on track.

    • Physical therapy (Rehabilitation): After initial healing, physical therapy is crucial for regaining strength and flexibility in the hand. Our expert physiotherapists will design a personalized rehabilitation program to help you restore normal movement and function in your hand.

    • Follow-up visits: Regular follow-up appointments with the surgeon are necessary to track progress, address any complications, and adjust the rehabilitation plan if needed.

    • Gradual return to normal activities: Based on the complexity of your surgery and healing progress, you may resume normal activities within weeks to months.

    How long does hand replantation take?

    The length of the surgery depends on the complexity of the injury, but hand replantation can take anywhere from 4 to 12 hours. More complex cases involving multiple structures, like bone, nerves, blood vessels, and tendons, may take longer.

    Benefits of hand replantation

    • Restoration of function: Replantation allows the patient to regain functionality in the hand, such as gripping, typing, or performing other daily tasks.

    • Improved appearance: Unlike prosthetics, a reattached hand looks and functions more naturally.

    • Potential for sensation: With successful nerve reconnection, some sensation may return over time.

    • Enhanced quality of life: Patients can regain independence and resume many of their pre-injury activities.

    Risks or potential complications of a hand replantation

    As with any major surgery, hand replantation comes with potential risks:

    • Rejection of the hand: In rare cases, the body may attempt to reject the reattached hand.

    • Infection: Immunosuppressive therapy and the surgical procedure itself increase the risk of infection.

    • Blood circulation issues: Problems with blood flow may lead to tissue damage.

    • Nerve damage: Full sensory recovery may not be possible in every case, and nerve regeneration takes time.

    When to contact a healthcare provider?

    After hand replantation surgery, contact your healthcare provider if you notice any of the following symptoms:

    • Signs of infection: Increased redness, swelling, pain, or fever.

    • Excessive swelling or bleeding: If swelling or bleeding worsens, seek immediate medical attention.

    • Loss of function: If you experience significant loss of movement, numbness, or weakness in the reattached hand or finger.

    • Delayed blood flow: If you notice that the reattached part is cold, pale, or shows no signs of circulation, it may indicate that the blood supply has been compromised.

    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 replantation in Ahmedabad?

    We combine expert surgical techniques with compassionate care to offer the best outcomes for hand replantation. Here’s why we stand out:

    Expertise of Dr. Karn Maheshwari

    He is a highly skilled hand & wrist surgeon specialized in hand replantation. His specialized knowledge ensures that you receive the most effective treatment tailored to your individual 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 replantation

    You can schedule an appointment by calling our hospital or booking online through our website. Our team will guide you through the process and provide all necessary details.

    During your first consultation, we will perform a comprehensive evaluation, discuss your medical history, and assess your eligibility for hand replantation. This may include diagnostic tests and imaging studies, as well as a discussion on the risks and expectations of the procedure.

    Please bring a list of your current medications, relevant medical reports, and any imaging related to your hand injury. It’s also helpful to prepare any questions about the replantation process.

    Yes, we accept a range of insurance plans. It’s recommended that you check with your insurance provider for specific details on coverage for consultations, diagnostic tests, and hand replantation treatments.

    Recovery time can vary, but typically, the process involves several months of rehabilitation and physical therapy. The recovery depends on factors like the complexity of the replantation and the patient’s response to treatment. For a detailed insight into the recovery timeline and key factors affecting it, read our blog: How long does it take to recover from hand replantation surgery?

    Yes, we provide specialized physiotherapy services as part of your comprehensive recovery plan. Our expert therapists assist in restoring movement, strength, and sensory function in the replanted hand.

    No, hand replantation requires thorough evaluation and preparation. The procedure will be scheduled once the medical assessment and necessary prerequisites are completed.

    Wait times may vary based on the severity of the injury and the complexity of the surgery. Our team will inform you about the expected timeline during your consultation.

    We offer a variety of diagnostic tests, including blood tests, imaging (X-rays, MRIs), and other necessary evaluations to ensure you are ready for the replantation surgery.

    Before surgery, you may be advised to avoid smoking, alcohol, and certain medications. These can affect healing and the success of the procedure. Our team will provide personalized instructions.

    We follow stringent safety protocols, including pre-operative assessments, sterilization procedures, and continuous monitoring during and after the surgery. Your safety is our top priority throughout the entire process.

    Yes, typically, patients stay in the hospital for several days post-surgery for close monitoring and immediate care. The length of stay will depend on your recovery progress and any potential complications.