Ocena: 4.8/5.0

Informacje o zabiegu

The most commonly used and effective treatment of Dupuytren’s disease is surgical treatment. It consists in incision or cutting out scar aponeurosis that cause permanent bending of the finger. The most frequently performed operation is fasciotomy. The surgeon incisions the skin of fingers and hands and then removes thickened tissue, which forms so-called “strips”. The operation is usually performed under local anaesthesia, the patient is fully conscious, only the place of surgery is anaesthetized. Unfortunately, there is a recurrence of the disease. The second contracture, the young age of patient, affects dermophasciotomy. This is less risky of recurrent. It is a much more difficult procedure performed under general anaesthesia; the patient is put to sleep for the time of surgery. It consists in the removal of thickened bands of aponeurosis, as well as skin cutouts. The missing fragment of skin is replaced by an autologous graft taken from the groin or hand. The price of procedure depends on the deformation degree and the extent of procedure.

Wskazania

  • hand contracture
  • significant hand impairment
  • loss of hand function
  • the operation is rarely also undertaken for aesthetic reasons

Przeciwwskazania do zabiegu

  • diseases related to coagulation disorders causing excessive bleeding, e.g. haemophilia
  • immunosuppression through immunosuppressive drugs or HIV infection
  • taking blood thinners
  • advanced and uncontrolled diabetes
  • active infection
  • trophic lesions in hand skin
  • increased body temperature
  • allergy to any anaesthetic drug
  • general-health contraindications

Przebieg zabiegu

It consists in incision or cutting out scar aponeurosis that cause permanent bending of the finger. The most frequently performed operation is fasciotomy. The surgeon incisions the skin of fingers and hands and then removes thickened tissue, which forms so-called “strips”. The operation is usually performed under local anaesthesia, the patient is fully conscious, only the place of surgery is anaesthetized. Unfortunately, there is a recurrence of the disease. The second contracture, the young age of patient, affects dermophasciotomy. This is less risky of recurrent. It is a much more difficult procedure performed under general anaesthesia; the patient is put to sleep for the time of surgery. It consists in the removal of thickened bands of aponeurosis, as well as skin cutouts. The missing fragment of skin is replaced by an autologous graft taken from the groin or hand.

Uwolnienie/plastyka przykurczu palców w chorobie Dupuytrena

Cena:

Od 3100 do 4000 zł

Korzyści z zabiegu

  • restoring proper mobility and hand efficiency
  • restoring correct hand functions– ability to catch objects, writing, etc.
  • good aesthetic/cosmetic effect

Zalecenia po zabiegu

  • painkillers are recommended for painful postoperative conditions
  • visits at the doctor for dressings changes, suture removal, post-operative wound control, in the initial period are necessary
  • in some cases rehabilitation is recommended
  • suitable exercises (e. g. kinesiotherapy, laser therapy, ultrasound, light, etc.) enables faster healing of the hand and quicker recovery