Hand Surgery is surgery of the hand, the wrist and the peripheral nerves of the upper limb. It also encompasses reconstructive surgery that improves upper limb function after nerve injury.
A typical hand surgery operation is performed as a day-case under a regional anaesthetic (injected in the armpit or above the shoulder, to numb the entire arm); the patient is awake or lightly sedated, according to preference. General anaesthesia and/or overnight stay in hospital are unusual but are required for some operations on the hand, such as in children or when surgery is prolonged. A few operations can be performed under local anaesthesia (injected beneath the skin at the site of surgery).
The surgeon uses fine instruments to handle the delicate structures in the hand, and may use magnifying glasses (loupes) or an operating microscope for repair of the small nerves and arteries in the hand.
Post-operative treatment by a hand therapist is essential for optimal recovery after some types of hand surgery.
Dupuytren's disease is a condition in which there is fixed forward curvature of one or more fingers, caused by the development of a fibrous connection between the finger tendons and the skin of the palm.
We are the only hospital in Birmingham who offer Xiapex injection treatment for Dupuytren's disease. Find out more about our treatment here.