Hand Surgery

Hand Surgery

Hand and &Upper Extremity Surgery also called  hand surgery, is a profession that deals mainly with the diagnosis and treatment of various diseases and injuries of the hand, and the injury of other limbs of our body. is the industry. Repair of hand, wrist, forearm, elbow, shoulder region, vascular, nerve and tendon incisions, congenital upper extremity disorders and brachial plexus injuries are the most frequently applied conditions to hand surgeons. This is the reason why this branch is known as hand and upper extremity surgery.

However, it can be performed by hand surgeons in the treatment of vascular nerve and tendon injuries in the lower extremity, ie thigh, leg and foot region.

Because the surgical treatment of vessels and nerves that concern these regions is performed using thin-tipped micro-instruments under the microscope. Therefore, hand surgery and microsurgery are generally practiced. They are known as branches that go into the interior.

What is Microsurgery?

The most commonly used technique in hand surgery is microsurgery, the size of the operating field by using an operating microscope or special eye glasses. It is a surgical technique applied by ironing. Thanks to this technique, sensitive problems in structures such as nerves and vessels, which are difficult to see under normal conditions, become surgically treatable. Due to their extremely small size, the repair of invisible vessels, nerves and fibers is possible thanks to microsurgery. The suturing of partially or completely amputated limbs with microsurgical methods can also be performed successfully.

In Which Situations Is Microsurgery Applied?

Microsurgery is generally applied in the following situations:

  • Thumb and trigger finger detachments,
  • Injuries or losses in muscles and tissues, 
  • Crush,
  • Tendon repair,
  • Finger and fingertipsç amputations occurring in the joint part,
  • Avuç Internal injuries and ruptures in this area,
  • hand break,
  • Removal of tumors in the musculoskeletal system,
  • Vein and nerve cuts,
  • breaks occurring above & above the elbow,
  • çamp;amp;amp;amp;amp;amp;utations in children,
  • Au&ulsion fracture, also known as shear fracture, is in question,
  • Tendon and nerve transplant needed&cced; injuries heard,
  • Treatment of ailments caused by nerve compressions in the hand or elbow,
  • Transplantation of muscle, skin and vascular tissue as composite to another part of the body.


What are Hand Surgery Diseases?

We can list the medical conditions in the field of hand surgery more comprehensively under the following headings: 

1) Hand, Wrist and &Forearm Injuries

A.) Finger and Limb Amputations

Hand, finger,  Fore arm, arm, foot and leg ruptures are among the areas of interest of hand surgery. Repair of limb ruptures depends on many factors. How and in what way the rupture takes place is perhaps the most important of these factors. 

B.) Artery, Tendon and Nerve Injuries

Vein cuts are one of the reasons that lead to bleeding. Also, depending on this situation, tissue death risk is also in question. In addition to vein incisions, the strength of nerves and muscles that transmit movement commands and carry senses; The cuts of the tendons, which transfer to the bones and enable the formation of movement, are also surgically treated with this technique.  

C.) Broken and Çkıklar

All fractures in the upper extremity are within the scope of hand surgery. These include fractures and dislocations, ligament ruptures and arm bone fractures in the hand, wrist, forearm and elbow. Such problems are also treated with hand surgery and microsurgery.  ;

2) Nerve and Tendon Compression

With the development of technology and the widespread use of computers, nerve muscle and squeezing occurs frequently due to excessive computer use. Nerve compression usually manifests itself with symptoms such as numbness in the hand, pain and coughing. The most common type of nerve compression is carpal tunnel syndrome. Nerve compressions are both early and late; Periodic moisture treatments, hand surgery, and death are of interest to me. 

A.) Carpal Tunnel Syndrome

Carpal tunnel syndrome manifests itself as a result of compression in the median nerve at the wrist level due to various reasons. When it comes to this syndrome, the first word is pain in the finger and the third numbness/feeling defect occurs in a part of the finger. If it progresses, finger strength Findings such as loss of life and dropping objects from his hands occur. Hand surgery is one of the methods used in the treatment of this syndrome.  

B.) Ulnar Groove Syndrome

It occurs as a result of compression of the ulnar nerve at the elbow level. The fourth and third Numbness occurs in the fifth and fifth fingers. Its treatment is similar to the methods used in carpal tunnel syndrome.

C.) De Quervain Tendiniti

This discomfort is caused by compression in the tendons that lift the thumb at the wrist level. In the treatment of this disease, which is frequently seen in diabetes, rheumatic diseases and postpartum period, medicine is used. and if the splint treatment is insufficient, surgical release is applied.

D.) Trigger Finger Syndrome

The tendons that allow the fingers to bend are palms; As it binds to the inside, it thickens and compaction occurs. In trigger finger disease that occurs in this way, finger movements are stuck and pain is mentioned.

3.) Tumor and Tumor-like Formations Occurring in the Hand and Upper Extremity

A.) All Similar Formations

The most common of these is ganglion cysts formed in the wrist tendon sheaths. These cysts cause pain. Pharmaceuticals & Although the treatment works in relieving pain, surgical removal of ganglion cysts is recommended. Another common occurrence is dupuytren's disease (dupuytren's contracture). Palm & This disease, which can be seen in the interior and soles of the feet, can cause the fingers to contract in a way that cannot be opened. It is tried to be brought under control with local injections and minimal surgical methods, but surgical intervention is essential in further stages. 

B.) Well-Tempered T&oml;ers

Giant cell tumor of the tendon sheath, cysts found in bone and soft tissue, all tumors originating from vessels and nerve sheaths can be counted among these.  

C.) Köt& Huylu Tör

Just like the other bad that occurs in the skeletal system, Like all benign bone and soft tissue tumors, they must be treated. Köt&m; A multidisciplinary approach should be followed in the treatment of benign tumors, hand surgery and orthopedic oncology should work together.

4) Rheumatic, Inflammatory and Infectious Diseases

Hand and wrist joints are among the joints where rheumatic diseases are most common. Apart from rheumatic causes, chronic fatigue and microorganisms are among the factors that trigger arthritis and tendinitis. Surgical interventions are used when advanced deformities are in question. 

5) Congenital Anomalies and Birth Injuries

Just like in other parts of our body, congenital anomalies frequently occur in the hand and upper extremity. Thanks to the strict follow-up during pregnancy, the frequency of anomalies may decrease, but it is not possible to prevent them completely. Extra fingers (polydactyly), attached fingers (syndactyly), and bones sticking together Complex anomalies such as (synostosis) can be counted among them. In such cases, surgical intervention is often required. is heard. Apart from these, the cervical bone fracture is the most common type of injury that occurs during difficult births. Although a fracture of the sternum may heal uneventfully, fractures can occur in other bones as well. In such cases, it is possible to be treated with surgery and physical therapy. 

Hand Surgery and Microsurgery Treatment

A physical therapy and rehabilitation process, which is initiated in the early period and continues regularly, is also critical in order to obtain positive results after hand surgery. plays a role. Many factors such as the location of the operated area, the nature of the tissue, the physical therapy process and the age of the patient affect the healing process. Hospitals with hand surgery need a good physical therapy process to be able to walk this treatment efficiently. is aware of it. Therefore, it is extremely important to apply to the best in hand surgery. Because in this way, a successful process can be achieved. possible to come true. However, in some reconstructive surgeries performed within the body of the hand surgery hospital, excellent results may not be obtained despite the successful operation and physical therapy process. In such cases, the goal is to ensure that the patient achieves the best possible hand function.  

Frequently Asked Questions About Hand Surgery and Microsurgery

Hand Surgery Which BöDie To Do? 

Individuals researching the subject of

hand surgery and microsurgery generally ask which department is looking into hand surgery? asks such questions. For hand surgery, it is necessary to go to the Orthopedics and Traumatology department.

In Which Surgeries Is Microsurgery Used?

Microsurgical surgery; It is used in cases such as the treatment of vital vessels and nerves as a result of accident or injury, the suturing of amputated body parts, and accidents. Apart from these, causes such as burns and cancer It is a method applied for the treatment of tissue losses that occur. 

What Causes Swelling in Fingers?

Swelling of the hands usually refers to the accumulation of water in the body, inflammation of the hand tissue or inflammation of the joints. Apart from these, a common cause such as water retention during menstruation or pregnancy, or more serious health problems such as an inflammatory disease can also cause swelling of the hands. When there is a situation with this, it is useful to apply to a health institution just in case. 

Which Böu;

Depending on the factor causing swelling, the section that needs to be taken also varies. For this reason, in order to learn the cause of swelling complaints, it is useful to have a general examination first. 

Which B&oml;die for Hand Fracture?

Traumatology department is a branch of medicine that provides emergency treatment in cases that occur as a result of trauma in general. This section deals with traumatic lesions such as wounds, burns, fractures, bruises, and bruises. For hand fractures, it is necessary to go to the traumatology department. 

Which Section Causes Tendon Rupture?

Tendinit disease falls within the scope of the Orthopedics and Traumatology department. 

Which Way To Go For Hand Arm Pain?

For arm pain, you need to apply to Orthopedics, Physical Therapy or Neurology polyclinics in hospitals. 

How Is Microsurgical Hernia Surgery Performed?

Microsurgical hernia surgery, also known as microdiscectomy, is the most common treatment method used in herniated disc surgery. Microsurgical hernia ame It is a surgical method applied to relieve the pressure on the nerve root root and relieve pain by removing the herniated disc parts. In this operation, which usually starts under general anesthesia, a smaller skin incision (1.5-2 cm) is made first. Then, with the help of special instruments, the muscle tissue is stripped and a smaller measurement is made by using imaging methods. the bone window is opened. Since this operation is performed with microsurgical instruments and methods, accompanied by a special microscope, it is extremely unlikely that the nerve and nerve membrane will be damaged. Hand surgeons and those who have microsurgical hernia surgery usually enter the operation with the awareness that this possibility is very low. With this special operation, the hernia tissue pressing on the nerve root can be cleaned. 

Microsurgical Hernia Surgery Healing Process     


Microsurgical herniated disc surgery, patients have the opportunity to return to their work or daily life much faster. With this specially developed application, it is possible to quickly return to your daily routine and make the recovery process less painful. ;mk&und&r. 

Op. Dr. Orhan AYDIN

Plastic and Aesthetic Surgery Specialist

Who is Orhan AYDIN?

Kiss. Dr. Orhan Aydın was born in 1984 in Kırcaali. He completed his primary and secondary education in İzmir. He graduated from Manisa Celal Bayar University Faculty of Medicine in 2008. He completed his specialization training in Pamukkale University Plastic, Reconstructive and Aesthetic Surgery Department between 2009-2014. Between 2014-2015, he completed his compulsory service at Şanlıurfa Mehmet Akif İnan Training and Research Hospital.

Health Sciences University, where he started working in 2015, Dr. Abduraahman Yurtaslan left his duty at Ankara Oncology Training and Research Hospital in November 2018...