Hand surgery and reconstructive plastic microsurgery

Many important daily tasks are impossible without your hands. Signing documents, buttoning a shirt, eating. Often, even a fingertip injury can turn these routine tasks into real problems.

Indications

The indication for elective surgery is a significant impairment in the quality of life when using a limb and the ineffectiveness of other treatment methods. In case of an urgent situation, the indications can be expanded in order to achieve the best functional result in the long term.

Contraindications

Relative contraindications to performing the operation may be:

• inability to apply anesthesia. In the vast majority of cases, hand surgery is possible with the use of infiltration or conduction anesthesia, which allows us to help patients with severe concomitant diseases.
• infectious inflammation. In this case, the operation may be postponed.
• individual characteristics of the patient

Preparation for surgery

The preparation includes:

In the Department of Traumatology and Orthopedics of the European Medical Center, a full preoperative examination can be completed within a few hours.

At the consultation before the operation, the anesthesiologist must interview the patient about the presence of chronic diseases, allergies to medications, medications taken. It is especially important to inform the specialist about taking medications that affect blood clotting, as well as hormonal medications.

No specific training is required. Hospitalization is performed directly on the day of the operation. It should take at least 4-6 hours from the last meal and water intake to the operation.

How's going

Before starting the operation, the patient is anesthetized. The type of anesthesia is determined by the anesthesiologist, based on the patient's wishes. The most commonly used ones are:

Next comes the stage of surgical intervention.

After the operation, the patient is transferred to the intensive care unit, where he will be under the supervision of specialists until he wakes up. When the patient wakes up, they examine him, stabilize his condition and transfer him to a hospital. Most patients spend up to two days in the hospital.

Upon discharge, the prescriptions of the attending physician and the recommendations of the rehabilitologist are given. The stitches are removed 14 days after the operation.

Rehabilitation and physical therapy for the vast majority of operations begin immediately. The rehabilitologist conducts a consultation and begins classes in the hospital ward. After discharge, the patient is recommended to visit the rehabilitation department on an outpatient basis.

Recovery depends on the amount of surgery, and it can take from several weeks to several months. Classes with a rehabilitologist are aimed at gradually developing an adequate range of motion, reducing pain, and gradually returning to a habitual, active lifestyle.