Wrist microsurgery

Wrist microsurgery is conducted by the leading Orthopedists of the private hospital “Herzliya Medical Center” in Israel. In the specialized Department of microsurgery for hands and wrists, complicated surgical procedures, which completely restore the motor and sensory functions of the wrist and eliminate acquired and congenital cosmetic defects, are executed.

Features of wrist microsurgery in Israel

Modern technology allows surgeons to carry out unique complex operations in Israel. Microsurgery is based on the use of the microscope that repeatedly multiplies the operating area, which allows performing manipulations on especially small anatomical structures, for instance, such as the wrist. The structure of the wrist is characterized by an abundance of small blood vessels and nerve endings, insignificant damage of which has a negative impact on the functional capabilities. Disturbances of sensory and motor functions of the upper limbs lead to the development of the disability and restrict patients from habitual living. At the same time, wrists are daily exposed to high risks coming from domestic, industrial and sports injuries. The development of wrist microsurgery also allowed specialists to cope with a number of degenerative and vascular diseases successfully, a complete treatment of which was previously impossible.

Indications for microsurgery of the hand and wrist

In the private clinic “Herzliya Medical Center” all kinds of modern microsurgical operations on the hand and wrist are carried out, the main indications of which include:

• Restoration of blood circulation after traumas, as well as in the case of the vessels of the wrist blockage, when it is impossible to carry out an intravascular minimally invasive intervention
• Reposition and fixation of the wrist bones after multiple fractures
• The operation of the nerve trunks of the upper limbs
• The operation aimed at benign formations removal, for instance, the hygroma of the wrist
• The operation of the fingers tendons
• Surgical treatment of arthrosis: wrist arthrosis, finger arthrosis
• Procedures for recovery or replacement of small joints of the hand
• Correction of congenital defects and malformations of the wrist (for example, surgery with polydactyly)
• Cosmetic surgery of the wrist skin

Depending on the indications and the patient’s condition, microsurgical operations can be planned or performed in the emergency order. When a complex procedure is necessary (often after severe traumatic injuries), the operation is performed by several teams of surgeons (neurosurgeons, specialists in the field of vascular surgery, plastic surgeons and orthopedists).

How are microsurgical operations performed at the private hospital “Herzliya Medical Center”?

Orthopedic surgeons of the Herzliya Medical Center will conduct a thorough diagnosis to determine the indications for the operation and the scope of the forthcoming procedure. At this stage, the type of anesthesia is also determined. Wrist microsurgery can be performed under general anesthesia or regional anesthesia. Patients suffering from chronic diseases are consulted by specialists and undergo necessary preoperative training in order to prevent complications. Some microsurgical operations of the wrist are carried out within the day hospital of the clinic. The necessity and the duration of hospitalization depending on the type of procedure and normally does not exceed several days.

After careful preoperative treatment, the wrist of the patient is placed under the surgical microscope. The team of surgeons gets an opportunity to conduct a direct visual examination or to broadcast an enlarged image on the monitors. During the microsurgery of the wrist special tools are used, including high-precision instruments that allow carrying out tiny manipulations that marginally injure surrounding tissues. To prevent the development of postoperative cicatricial changes cosmetic sutures are superimposed at the end of the operation.

Rehabilitation of patients after microsurgical surgery

Qualified postoperative treatment is necessary in order to guarantee the maximum success of the microsurgical procedures performed. The Herzliya Medical Center pays special attention to the following aspects:

• Care of the postoperative wound and prevention of infectious complications. If further treatment continues on ambulatory conditions, patients receive detailed prescriptions for the surgical suture monitoring and the wound treatment
• Prevention and treatment of pain syndrome with the use of highly effective and safe medications. A competent combination of analgesics of short and prolonged action helps to prevent pain and discomfort in the wrist area.
• Physiotherapeutic procedures with the use of progressive rehabilitation technologies and devices. With the help of unique methods used in the orthopedics department of the Herzliya Medical Center, it is possible to restore the maximum functions of the wrist, including precise motility and full amplitude of motions in the joints

The staff of the wrist microsurgery department of the Herzliya Medical Center closely collaborates with leading neuropathologists, neurosurgeons, traumatologists and orthopedists of the clinic, guaranteeing a comprehensive and all-round approach to the medical problems of each patient.