Hand surgery includes congenital anomalies of the hand, degenerative diseases, injuries and tumors of the hand. As the hand has a great motor function, it is imperative to establish good hand function. It is especially important to emphasize that injuries often involve several structures, ie. skin, tendons, bones, nerves and blood vessels, and each structure needs to be ideally reconstructed in order to establish good hand function.
It begins with the appearance of subcutaneous thickening on the palm. At this stage, there are no disturbances on the fingers, so patients usually ignore it. After a while, under skin bands are noticed, and the fingers begin to bend towards the palm on their own, but the function is still preserved. The bending of the fingers starts to get worse over time and then the fingers can no longer stretch. At this stage, the functionality of the hand is significantly reduced. All this can be accompanied by pain (which is not significant) and discomfort when performing movements. Surgical treatment is advised in all cases when the contracture in the first joint of the finger with the palm is greater than 30 ° or when the contracture in the middle joint of the finger is greater than 10 °.
The most common injuries to the hand are injuries to the fingertips, followed by injuries to the tendons, nerves, blood vessels, muscles and bones. All of these injuries can be isolated, or combined. Reconstruction of the fingers of the hand means that the missing part of the hand is reconstructed (made again).
Compressive neuropathies (peripheral nerve entrapment) are very common, especially upper extremity neuropathies. They usually involve three main nerves: the root of the hand, the elbow and the wrist. Carpal tunnel syndrome is a compressive neuropathy, at the place of passage through the carpal tunnel, in the area of the stream. It is characterized by weakness of the hand muscles, loss of sensibility in the first three fingers and night pains. Cubital canal syndrome is a compressive neuropathy in the elbow region. It is characterized by pain in the area of the elbow, which spreads through the arm and is accompanied by tingling in the arm.
During the consultation with Dr. Smiljanic, the doctor will suggest the best method of treatment, introduce you to possible complications and tell you what preoperative preparation is necessary (tests and findings).
Dr. Smiljanić will inform you about all possible complications during the consultation.
Surgical procedures on the anterior abdominal wall can later lead to the appearance of a hernia at that place. According to statistics, the possibility of occurrence after surgery is from 2 to 10%. Hernia (pressure) causes pressure, discomfort and indefinite pain. Usually small hernias, with a narrow opening, cause bigger problems. The resulting hernia will never disappear until surgery is performed, and over time it increases and becomes more complicated. Patients with inguinal hernia do not necessarily have any major problems, except for aesthetic ones (bulging on the abdomen, which occurs when a part of the abdominal organs comes out through the hernia opening and fills the hernia sac). However, it may happen that this content is trapped when returning to the abdomen. Vomiting is a symptom of a hernia and requires urgent surgery.
During the consultation with Dr. Smiljanic, the doctor will suggest the best method of correction, introduce you to possible complications and tell you what preoperative preparation is necessary (tests and findings).
The operation lasts about 2 hours and is performed under general anesthesia. It can also be combined with liposuction in the area of the thighs, thighs, knees and buttocks. During the procedure, abdominoplasty is performed, which includes the correction of the anterior abdominal wall, ie. strengthening the musculature, especially where there is a separation (diastasis) of these muscles.
Dr. Smiljanić will inform you about all possible complications during the consultation. If pain occurs after the procedure, it is alleviated with appropriate medication.
The patient stays in the hospital for 24 hours. The sutures are removed after 14 days. It is mandatory to wear a suitable corset in the first 2 weeks. After removing the sutures, the treatment of the scar begins, which over time becomes softer and less noticeable. The patient is able to return to his daily obligations 15 days after the operation.
