Ambulatory operations
The handA further focus of ambulatory operations is hand surgery. All hand surgery is ambulatory and a local or regional anaesthesia is given whenever possible. Below are some frequent hand disorders that may require surgery due to their duration and the failure of orthodox treatment. Patients with a carpal tunnel syndrome have no feeling in the fingers, usually during the night. Over time, fine motoric disturbances arise and there may be loss of strength. This is caused by restriction of the median nerve in the area of the carpal bones. The overlying ligament is split in an operation, allowing the nerve more space. The symptoms should already have disappeared by the first night after the operation. Trigger finger syndrome: whereby one finger cannot be extended again after bending. The tendon becomes trapped in the tendon sheath at the base of the finger, causing pain and inhibiting movement. The condition ceases when the tendon sheath is surgically split. Dupuytren´s contracture: the subcutaneous layer of tissue (fascia) in the hand becomes hardened or shrinks and progressively pulls the fingers into the palm of the hand. This usually affects the ring and small finger. Although this disease should not be operated on in the early stage (formation of small lumps in the palm) |
surgical treatment should not be put off too long as otherwise serious limitations to movement will occur. Bible bump or ganglion cyst: this is a swelling that can develop on the back on the hand, the wrist or the tendon sheath of flexor muscles. It is usually caused by a relative weakness of the joint capsule, which fills with synovial fluid that then thickens in the ganglion putting pressure on the surrounding tissue. Tears to tendons of the hand and fingers usually have to be surgically treated in order to maintain the functions of the hand. |
