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Hand surgery

Dupuytren's disease or contracture or Dupuytren's disease is a benign disease in the palm of the hand and fingers, which causes scarring and makes full extension of the hand impossible. This is why the disease is popularly known as “tendon shortening”. or “crooked finger disease” called. Unfortunately, the cause of the disease is still unclear, although it is very common.

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Hand surgery

Dupuytren's disease or contracture or Dupuytren's disease
 
It often begins with lumps forming in the palm of the hand and can be mistaken for rheumatism or rheumatoid nodules. As the disease progresses, the fingers become retracted, which then causes recurring skin inflammations and disrupts everyday life.
 
Although a non-surgical treatment method (the so-called collagenase injection) was developed a few years ago, the surgical method, for which various methods are available, has proven itself in the long term because it is in the In most cases it has fewer complications and is more sustainable. Experienced surgeons choose the surgical method suitable for patients to avoid recurrences and restore quality of life. Although it is a painless disease, it severely restricts those affected in their everyday lives.
 
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Operation for Dupuytren's disease at a glance

Operation duration: depending on the operation method between 30 and 90 minutes
Anesthesia: inpatient with regional anesthesia (with or without twilight sleep) or with general anesthesia
Sport: after 2 weeks

Vor der Op

  • For a period of around 14 days before the operation, you should avoid medications that contain acetylsalicylic acid (e.g. aspirin, ASA, etc.), as these impair blood clotting.
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  • You should also largely avoid alcohol, cigarettes and sleeping pills. Nicotine can also reduce blood flow to organs and delay wound healing. Therefore, avoid nicotine both two weeks before the operation and during the wound healing phase.

    • Nach der Op

    • Suture removal after ten to 14 days. The procedure requires wearing a splint at night for three to six months. Two weeks of rest, including elevation and cooling, are essential after the operation.
    • Physical and/or occupational therapy can usually begin five days after the procedure.

    DAS WIRD PASSIEREN
    The operation can be performed under regional anesthesia (brachial plexus anesthesia) or general anesthesia, which depends on the general condition and the severity of the disease. There are several surgical procedures available: on the one hand, partial fasciectomy, in which only the strand is removed, and on the other hand, complete fasciectomy, in which all of the connective tissue is removed (this is particularly recommended for patients who are undergoing surgery for the first time You may need to undergo surgery for this condition to prevent or delay recurrence). Patients whose skin is also affected by the retraction may need to undergo a dermofasciectomy, which involves the removal of skin and connective tissue. The wound must then be closed with a skin graft (flap). As part of the fasciotomy, the strand is simply severed using a scalpel or a cutting needle.

     

    DAS KANN PASSIEREN

    Any swelling and discoloration caused by bruising in the surgical area will subside after about a week. Sometimes a feeling of numbness is felt in the area of the scar, but this also disappears after about two to three weeks. The most common risks include wound healing disorders, which occur particularly frequently in smokers. You should therefore avoid nicotine for at least two weeks before the operation and during the entire wound healing phase!

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    Dr. Veith Moser

    Specialist in plastic, aesthetic and reconstructive surgery

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    Dr. Veith Moser

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