Hand and microsurgery is a specialized surgical field used to repair, reconstruct, or restore the function of delicate and intricate structures in the body. While hand surgery focuses on treating the complex anatomical structure of the hand, microsurgery involves precise techniques to work on smaller structures such as blood vessels, nerves, and other fine tissues. Microsurgery plays a critical role in cases such as hand injuries, reattachment of amputated limbs, and nerve and vessel repairs.
When is Hand and Microsurgery Applied?
- Fractures and Dislocations: Fractures and dislocations of the bones in the hand are repositioned and stabilized using microsurgical techniques.
- Tendon Injuries: Tears or injuries to the tendons that allow hand movement can be repaired through microsurgery.
- Nerve Cuts and Damage: Damage to the nerves in the hand and fingers, which control sensation and movement, can be repaired using microsurgery, restoring nerve function.
- Finger or Extremity Amputations: In the case of amputation, microsurgical methods can reattach the severed part, restoring circulation and function.
- Dupuytren’s Contracture: This condition, in which the tissue in the palm thickens and causes fingers to bend, can be treated surgically to restore normal hand function.
- Carpal Tunnel Syndrome: Carpal tunnel syndrome, caused by compression of the median nerve at the wrist, can be treated with microsurgery.
- Rheumatoid Arthritis and Osteoarthritis: Joint damage caused by conditions like rheumatoid arthritis or osteoarthritis can be treated with microsurgery to improve hand function.
Microsurgical Techniques
Microsurgery is performed using high-precision microscopes and specialized instruments. These techniques involve repairing fine structures like blood vessels, nerves, and tissues under high magnification. The anastomosis (reconnection) of blood vessels and nerve repairs require significant microsurgical skill. During the procedure, stitches are extremely fine and delicate, demanding advanced surgical experience and precision.
Treatment Process and Rehabilitation
After hand surgery and microsurgery procedures, a careful rehabilitation and physical therapy process is essential. The goal is to help the patient regain hand function, return to daily activities as quickly as possible, and, when possible, restore full function. The rehabilitation process is personalized and may vary based on the patient’s specific needs.
