{"id":948,"date":"2017-11-03T11:29:13","date_gmt":"2017-11-03T13:29:13","guid":{"rendered":"http:\/\/www2.cirurgiaplastica.org.br\/?page_id=948"},"modified":"2019-07-09T11:45:21","modified_gmt":"2019-07-09T14:45:21","slug":"cirurgia-da-mao","status":"publish","type":"page","link":"https:\/\/www.cirurgiaplastica.org.br\/en\/cirurgias-e-procedimentos\/cirurgia-da-mao\/","title":{"rendered":"Hand Surgery"},"content":{"rendered":"
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Hand Surgery<\/h1>\n\t<\/div>\n<\/div>\n\n\n\n\n\t\t<\/div> \n\t<\/div>\n\t<\/div> \n<\/div><\/div>\n
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Home<\/a> > Surgeries and Procedures > Hand Surgery<\/a><\/p>\n\t<\/div>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t

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Skin Cancer<\/a><\/p>\n\t<\/div>\n<\/div>\n\n\n\n\n

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Hand Surgery<\/a><\/p>\n\t<\/div>\n<\/div>\n\n\n\n\n

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Surgery for Men<\/a><\/p>\n\t<\/div>\n<\/div>\n\n\n\n

<\/i>Body Contouring<\/a><\/h3>
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Scar Correction<\/a><\/p>\n\t<\/div>\n<\/div>\n\n\n\n\n

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Tissue Expansion<\/a><\/p>\n\t<\/div>\n<\/div>\n\n\n\n

<\/i>Face<\/a><\/h3>
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Bichectomy<\/a><\/p>\n\t<\/div>\n<\/div>\n\n\n\n\n

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Chin Surgery<\/a><\/p>\n\t<\/div>\n<\/div>\n\n\n\n\n

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Liposuction<\/a><\/p>\n\t<\/div>\n<\/div>\n\n\n\n

<\/i>Breast<\/a><\/h3>
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<\/i>Minimally Invasive<\/a><\/h3>
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Hand Surgery<\/span><\/h1>\n\t<\/div>\n<\/div>\n\n\n\n
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If your hand has a deformity, surgery may improve your condition. This very specialized type of surgery can treat conditions that cause pain and impair the strength, function, and flexibility of your wrist and fingers. Surgery aims to restore, close to normal, the function of fingers and hands injured by trauma or correct anomalies present at the time of birth.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n\n\t\t<\/div> \n\t<\/div>\n\t<\/div> \n\n\t

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<\/i>CARPAL TUNNEL SYNDROME<\/a><\/h3>
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Condition caused by pressure from the median nerve in the wrist or carpal tunnel. You may feel pain, tingling sensations, numbness in your fingers, or weakness. Carpal tunnel syndrome is associated with several conditions, including: repetitive motions, fluid retention during pregnancy, nerve damage in the carpal tunnel, or rheumatoid arthritis.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>RHEUMATOID ARTHRITIS<\/a><\/h3>
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Disabling disease that can cause severe inflammation in any joint in the body. In the hand, it can deform the fingers and impair movement.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>DUPUYTREN'S CONTRACTURE<\/a><\/h3>
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Disabling disease of the hand in which thick bands of scar tissue form on the palm of the hand and can extend to the fingers, causing restricted movement and abnormal position of the fingers.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>IS IT RIGHT FOR ME?<\/a><\/h3>
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Hand surgery is an individualized procedure and can be performed on people of any age. It will be a good option for you if:<\/span>
\n\u2022 You do not have medical conditions that could impair healing;<\/span>
\n\u2022 You don't smoke;<\/span>
\n\u2022 You have a positive attitude and realistic expectations of the surgical result;<\/span>
\n\u2022 You are determined to follow the plastic surgeon's instructions;<\/span>
\n\u2022 In some cases, hand surgery is necessary to treat wounds.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>WHAT TO KNOW BEFORE UNDERGOING HAND SURGERY<\/a><\/h3>
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The success and safety of the surgical procedure largely depends on your sincerity during the consultation. You will be asked about your health, desires and lifestyle.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>BE PREPARED TO DISCUSS<\/a><\/h3>
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\u2022 The reason why you want to have the surgery, your expectations and the desired result;<\/span>
\n\u2022 The options available in hand surgery;<\/span>
\n\u2022 Medical conditions, drug allergies and medical treatment;<\/span>
\n\u2022 Current use of medication, vitamins, natural medicines, tobacco, alcohol and drugs;<\/span>
\n\u2022 Previous surgeries.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>THE SURGEON MAY ALSO<\/a><\/h3>
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\u2022 Assess your general health status and any pre-existing health conditions or risk factors;<\/span>
\n\u2022 Examine your hand in detail;<\/span>
\n\u2022 Take photographs for medical records;<\/span>
\n\u2022 Discuss options and recommend the most appropriate option to restore hand function;<\/span>
\n\u2022 Discuss possible outcomes of the surgery and any potential risks or complications.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>RISKS AND SAFETY INFORMATION<\/a><\/h3>
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The decision to undergo surgery is a personal one and it is up to you to decide whether the benefits will achieve your goals and whether the risks and potential complications are acceptable.<\/span><\/p>\n

You will be asked to sign the consent form to ensure that you fully understand the procedure you will undergo and any potential risks or complications.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>POSSIBLE RISKS OF SURGERY<\/a><\/h3>
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\u2022 Bleeding (bruise);\u00a0<\/span>
\n\u2022 Infection;<\/span>
\n\u2022 Anesthetic risks;<\/span>
\n\u2022 Unfavorable scars;<\/span>
\n\u2022 Change in skin sensation;<\/span>
\n\u2022 Irregularities in the skin contour;<\/span>
\n\u2022 Skin discoloration\/swelling;<\/span>
\n\u2022 Poor healing of incisions;<\/span>
\n\u2022 Hand edema;<\/span>
\n\u2022 Allergies to tape, suture materials, glue, blood products;<\/span>
\n\u2022 Deep vein thrombosis, cardiac and pulmonary complications;<\/span>
\n\u2022 Damage to deeper structures such as nerves, blood vessels, muscles and lungs, which may occur and be temporary or permanent;<\/span>
\n\u2022 Pain, which may last;<\/span>
\n\u2022 Possibility of revision surgery.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>MAKE QUESTIONS<\/a><\/h3>
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It is very important to ask the plastic surgeon about the procedure you will undergo. It's natural to feel a little anxiety, whether it's anticipation about your new appearance or pre-operative stress. Don't be shy about discussing these feelings with your surgeon.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>OTHER RISKS ASSOCIATED WITH SURGERY INCLUDE<\/a><\/h3>
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From the carpal tunnel<\/strong><\/span>
\n\u2022 Little clinical improvement;<\/span>
\n\u2022 Recurrence of carpal tunnel syndrome.<\/span><\/p>\n

Extensor tendon<\/strong><\/span>
\n\u2022 Additional incisions may be necessary, as cut tendons may retract;<\/span>
\n\u2022 Failure of tendon repair;<\/span>
\n\u2022 Inability to restore function;<\/span>
\n\u2022 Scar tissue over the tendon, limiting its movement.<\/span><\/p>\n

Flexor tendon<\/strong><\/span>
\n\u2022 Additional incisions may be necessary, as cut tendons may retract;<\/span>
\n\u2022 Inability to restore function;<\/span>
\n\u2022 Scar tissue over the tendon, limiting its movement.<\/span><\/p>\n

Tenolysis<\/strong><\/span>
\n\u2022 Abnormal tendon position;<\/span>
\n\u2022 Additional incisions may be necessary over the previous scar or new incisions may be necessary to release the scar tissue that is limiting the movement of the tendon;<\/span>
\n\u2022 Inability to restore function;<\/span>
\n\u2022 Recurrence of scar tissue in the tendon;<\/span>
\n\u2022 Tendon rupture;<\/span>
\n\u2022 Seroma (accumulation of fluid).<\/span><\/p>\n

Trigger Finger<\/strong><\/span>
\n\u2022 Little clinical improvement;<\/span>
\n\u2022 Scar tissue over the tendon, limiting its movement.<\/span><\/p>\n

Preparing for surgery<\/strong><\/span>
\nBefore surgery, it may be necessary to:<\/span>
\n\u2022 Take laboratory tests or medical evaluation;<\/span>
\n\u2022 Taking certain medications or adjusting current medications;<\/span>
\n\u2022 Stop smoking well in advance of surgery;<\/span>
\n\u2022 Avoid taking aspirin, anti-inflammatories and natural medicines, as they can increase bleeding.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>SPECIAL INSTRUCTIONS<\/a><\/h3>
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\u2022 What to do on the day of surgery (fasting time, medications, bath);<\/span>
\n\u2022 Information on the type of anesthesia to be performed during the surgical procedure;<\/span>
\n\u2022 Guidance on post-operative care.<\/span><\/p>\n

The procedure must be carried out in a safe and comfortable place for the doctor and the patient, in a surgical center authorized by the Health Surveillance, with equipment and trained staff for any complications.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>YOU WILL NEED HELP<\/a><\/h3>
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Be sure to ask someone to accompany you and stay with you for at least the first night after surgery.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>SURGICAL PROCEDURE<\/a><\/h3>
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Step 1 \u2013 Anesthesia<\/strong><\/span>
\nMedications are administered for your comfort during hand surgery. Options include intravenous sedation and general anesthesia. Your doctor will recommend the best option for you.<\/span><\/p>\n

Step 2 \u2013 The Incision<\/strong><\/span>
\nTrauma Treatment<\/strong><\/span>
\nThe most common injury to a traumatized hand or finger that requires surgery is tendon repair. When a tendon is cut, it will be explored from the original wound site. Tendon repair repairs the collapsed tendon and reconnects it using surgical techniques to restore function and movement.<\/span><\/p>\n

Carpal Tunnel Syndrome<\/strong><\/span>
\nPressure on the median nerve in the carpal tunnel must be relieved to repair this condition. An incision is made from the middle of the palm to the wrist, allowing access to the carpal tunnel that presses on the nerve. An alternative procedure is endoscopic carpus release, with smaller incisions and use of a surgical microscope or endoscope (a small flexible tube that contains a light and camera), to release the carpus.<\/span><\/p>\n

Congenital Deformities<\/strong><\/span>
\nWhen the fingers fuse at birth, called syndactyly, they can be joined only by skin or by partial fusion of bones. The surgery involves separating the two fingers to provide a full range of motion and normal appearance, as well as to allow normal growth of the finger. Techniques such as skin grafts or a local flap procedure, such as Z-plasty, create flexibility at the incision site for finger growth and movement.<\/span>
\nThe plastic surgeon can recommend a technique or a combination of techniques to achieve your goals. Some of these techniques include: microsurgery, skin, bone, nerve or other tissue grafts from healthy parts of the body, Z-plasty and physiotherapy.<\/span><\/p>\n

Step 3 \u2013 Closing the Incisions<\/strong><\/span>
\nDepending on your condition and the type of treatment, the incisions will need to be closed with removable sutures or non-removable sutures.<\/span><\/p>\n

Step 4 \u2013 Results<\/strong><\/span>
\nThe results of hand surgery will appear gradually as the swelling decreases and good work with a specific physiotherapist is carried out. The final result may appear after several months.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>POSTOPERATIVE RECOVERY<\/a><\/h3>
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After surgery, occlusive bandages and micropores can be applied to keep the surgical site clean and splints can be used if necessary.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>YOU WILL RECEIVE SPECIFIC INSTRUCTIONS, INCLUDING<\/a><\/h3>
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How to care for your hand(s), medications to take orally to reduce the risk of infection, and when to return for follow-up with the plastic surgeon.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>ASK YOUR PLASTIC SURGEON ABOUT RECOVERY<\/a><\/h3>
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\u2022 Where will I remain in recovery after surgery is complete?<\/span>
\n\u2022 What medication will I be given or prescribed after surgery?<\/span>
\n\u2022 Will there be dressings after surgery? When will they be removed?<\/span>
\n\u2022 Will the stitches be removed? When?<\/span>
\n\u2022 When will I be able to resume normal activities and exercise?<\/span>
\n\u2022 When will the return appointment be?<\/span><\/p>\n

Follow all post-operative instructions, including cleaning, prescribed medications, and hand physical therapy exercises. Physiotherapy is essential for restoring flexibility, strength and movement. If you return to normal function too quickly, the risk of re-injury is possible. Continue your physical therapy treatment and return periodically for follow-up appointments with your plastic surgeon.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>RESULTS<\/a><\/h3>
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The final result of the surgery will appear over time. Even with advances related to hand surgery, the outcome cannot be fully predicted. If you have had surgery to correct carpal tunnel syndrome, modifying work habits is vital for long-term improvement. If the procedure involved microsurgery, one year is considered adequate to achieve complete restoration of function.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>WHAT IS THE COST OF THE SURGERY?<\/a><\/h3>
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Cost is always a consideration in elective surgery. A surgeon's fees can vary based on their experience and the type of procedure performed.<\/span><\/p>\n

The cost may include:<\/span>
\n\u2022 Surgeon's fees;<\/span>
\n\u2022 Hospital or surgical center costs;<\/span>
\n\u2022 Anesthetist's fees;<\/span>
\n\u2022 Prescribed medications;<\/span>
\n\u2022 Medical exams.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>YOUR SATISFACTION IS WORTH MORE THAN THE COSTS OF THE SURGERY<\/a><\/h3>
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When choosing a plastic surgeon, remember that the surgeon's experience and your good relationship with him or her are as important as the final cost of the surgery.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>GLOSSARY<\/a><\/h3>
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\u2022 Carpal tunnel syndrome: Condition caused by pressure on the median nerve in the wrist or in the carpal tunnel, causing tingling, pain and numbness.<\/span>
\n\u2022 Dupuytren's contracture: Disabling hand disorder in which thick bands of scar tissue form in the palm of the hand and can extend into the fingers, which can cause restricted movement and abnormal position of the fingers.<\/span>
\n\u2022 Extensor tendon: Tendon that serves to extend a part of the body.<\/span>
\n\u2022 Flexor tendon: Tendon that serves to bend a part of the body.<\/span>
\n\u2022 General anesthesia: Drugs and\/or gases used during surgery to relieve pain and reduce consciousness.<\/span>
\n\u2022 Graft: Tissue taken from other parts of the body.<\/span>
\n\u2022 Intravenous sedation: Sedatives given by injection into a vein to help you relax.<\/span>
\n\u2022 Microsurgery: Augmentation to repair or reconnect nerves and tendons, (common in cases of trauma) often used in reimplantation of severed fingers or limbs.<\/span>
\n\u2022 Polydactyly: Presence of extra fingers.<\/span>
\n\u2022 Rheumatoid arthritis: Disabling disease that can cause severe inflammation in any joint in the body, which can deform the fingers and impair movement.<\/span>
\n\u2022 Syndactyly: When the fingers are fused.<\/span>
\n\u2022 Tenolysis: Surgical procedure to free a tendon from surrounding adhesions.<\/span>
\n\u2022 Trigger finger: Abnormal condition in which the flexion or extension of a finger may be momentarily obstructed by spasm followed by a clicking sound in its place.<\/span>
\n\u2022 Zetaplasty: A surgical incision technique that creates small triangular flaps of tissue that help close wounds over areas of the hand where bending or flexion is essential to function, such as around fingers.<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div>

<\/i>QUESTIONS TO ASK YOUR PLASTIC SURGEON<\/a><\/h3>
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Use this list as a guide during your consultation:<\/span>
\n\u2022 Are you a specialist by the Brazilian Society of Plastic Surgery?<\/span>
\n\u2022 Have you been trained specifically in the field of plastic surgery?<\/span>
\n\u2022 How many years of plastic surgery training have you had?<\/span>
\n\u2022 Is the installation of the surgical center in your office authorized by the Health Surveillance of your city?<\/span>
\n\u2022 Am I a good candidate for this procedure?<\/span>
\n\u2022 What is expected of me so that the best results are obtained?<\/span>
\n\u2022 Where and how will the procedure be performed?<\/span>
\n\u2022 Which surgical technique is recommended for my case?<\/span>
\n\u2022 How long can I expect to recover, and what kind of help will I need during my recovery?<\/span>
\n\u2022 What are the risks and complications associated with my procedure?<\/span>
\n\u2022 How are complications treated?<\/span>
\n\u2022 What are my options if I am unhappy with the result?<\/span><\/p>\n\t<\/div>\n<\/div>\n\n\n\n<\/div><\/div><\/div><\/div>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n

<\/div><\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"Cirurgia da M\u00e3o Home > Cirurgias e Procedimentos > Cirurgia da M\u00e3o C\u00e2ncer de Pele Cirurgia da M\u00e3o Cirurgia para Homens Contorno Corporal Abd\u00f4men Contorno Corporal Lifting de Bra\u00e7o Lifting...","protected":false},"author":1,"featured_media":0,"parent":792,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-948","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/pages\/948","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/comments?post=948"}],"version-history":[{"count":12,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/pages\/948\/revisions"}],"predecessor-version":[{"id":6368,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/pages\/948\/revisions\/6368"}],"up":[{"embeddable":true,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/pages\/792"}],"wp:attachment":[{"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/media?parent=948"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}