Excellencies - Hand Surgery

Surgery

Wrist and hand arthroscopy

What is it

Arthroscopy is a surgical procedure that allows you to have a direct view of the structures that make up the wrist and hand joints.
This technique can be used as a diagnostic tool to determine the cause of pain or dysfunction. It also makes it possible to perform some surgical procedures inside the joint without having to “open” it, thus allowing a faster and less painful post-operative recovery.
Pathologies of ligament, cartilage or bone can be treated in arthroscopy

The arthroscope is an instrument with a diameter of about 2 mm, equipped with an angled lens, which, when connected to a fiber optic cable and a camera, allows the surgeon to observe on a television monitor the structures inside the joint.
The surgery requires small incisions in the different regions of the wrist and hand to visualize the articulation from different points of view and to allow the introduction of different instruments.
After arthroscopy, depending on the pathology, a wrap or brace may be necessary to immobilize the wrist.

Similarly, physiotherapy treatment varies according to the nature of the lesion.

Microsurgery

What is it

Microsurgery is a surgical technique that makes use of optical amplification techniques, such as the operator microscope, through which one can treat tissues, organs and structures with maximum respect and care as small and delicate as possible, such as vessels and nerves, which for their dimensions could not be treated with traditional techniques.
Thanks to dedicated surgical training and sophisticated instruments, this discipline allows us to carry out procedures that just a few years ago were unthinkable.
Microsurgery deals with the replanting of an amputee or sub-amputate segment, such as a limb or part of it (hand-loss).

However, post-traumatic reconstructions of the upper and lower limb and reconstructions after demolition of cancer surgery are also fields of application of this discipline.
Microsurgery has allowed the development and clinical application of the “free flap” in response to severe losses of substance caused by trauma or demolition.
Thanks to this technique, it is possible to transfer tissues from a donor site to a recipient while maintaining their circulation intact, a procedure that is not possible with traditional techniques.

Our department is a regional contact point for microsurgical emergencies.