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Palmar Fasciectomy is a surgical procedure performed to treat Dupuytren's contracture. In this procedure, the surgeon makes a small incision in the palm to access the thickened tissue. The affected fascia (the fibrous tissue) is carefully removed to release the tight bands causing the fingers to bend. This allows the fingers to straighten and restores hand movement.
Depending on the severity of the condition, the surgery may be done under local anaesthesia, where only the hand is numbed, or under general anaesthesia. After the surgery, patients typically undergo a period of rehabilitation to regain full hand function and prevent the contracture from returning.
Palmar fasciectomy is performed to treat Dupuytren's contracture, a condition characterised by thickened tissue in the palm that causes the fingers to curl inward. The aim is to restore hand function by removing the affected fascia. This surgery is recommended when non-surgical treatments fail. It helps patients regain hand flexibility and improve their grip.
See a doctor if you notice painless thickening or nodules in your palm, especially if your fingers start curling. Problems placing your hand flat on a surface or difficulties with everyday activities are vital signs. Early intervention can help reduce complications. A hand specialist can confirm the diagnosis and determine if surgery is necessary.
Before surgery, your surgeon may ask for X-rays, blood tests, and a physical examination of your hand. You might need to stop taking blood-thinning medications. Make plans for someone to drive you home after the surgery. Preoperative instructions will include hygiene steps and fasting guidelines if you need general anesthesia.
During a palmar fasciectomy, a surgeon makes an incision in the palm to access and remove the thickened tissue cords. The surgery can be performed under local, regional, or general anesthesia. Care is taken to protect nerves and tendons during the procedure. Afterwards, the wound is closed with stitches and bandaged.
The procedure usually takes 1 to 2 hours, depending on the severity and number of fingers involved. It is often done as an outpatient surgery so that you may go home the same day. Recovery begins almost immediately with hand elevation and wound care. Hand therapy typically starts soon after the healing process is complete.
- Infection at the surgical site
- Injury to nerves or blood vessels
- Finger stiffness or loss of motion
- The contracture may recur over time
- Scarring and delayed wound healing
- Increased finger extension and flexibility
- Restored the ability to perform daily tasks
- Long-term relief from contracture symptoms
- Minimal recurrence in carefully selected cases
- Improved hand appearance and strength
Recovery involves wound care, elevation, and physical therapy to help regain strength and mobility. Most patients can return to light use of their hand in 2 to 3 weeks. Full recovery, including grip strength and mobility, may take up to 3 months. Occupational therapy may be necessary for optimal results.
The success rate for palmar fasciectomy is high, with 70-90% of patients experiencing significant improvement in hand function. However, the condition can come back over time, especially in severe cases or among younger patients. Success is most important when combined with hand therapy and proper follow-up care.
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Vinmec Can Tho Hospital
Can Tho, Vietnam
- Located in the heart of Can Tho city, it addresses the growing healthcare needs of the Mekong Delta region.
- Regional access to international-standard medical services was limited, especially in southern Vietnam.
- Rising demand for modern infrastructure and specialised healthcare due to population growth and urbanisation.
- Established as the 9th hospital in the Vinmec Healthcare System, covering 41,000+ ? with six floors and 155 beds.
- Launched with 21 medical specialities and centres, supported by advanced medical equipment and highly qualified personnel.
- Implemented cutting-edge technology (e.g., 3.0 Tesla MRI, 512-slice CT scanner, digital mammography, AI-integrated mobile X-ray).
- Rolled out incentive programs for community engagement (e.g., free health screenings, discounted cancer checkups).
- Built an expert-led service model focused on early screening, precise diagnosis, and modern treatment protocols.
- To deliver world-class healthcare locally and reduce the need for patients to travel to major cities for treatment.
- To improve public health outcomes in the Mekong Delta by combining advanced technology with expert care.
- To align with Vinmec's mission of providing high-quality, patient-centred care and promoting innovation in Vietnamese healthcare
Seven Hills Hospital
Mumbai, India
Seven Hills Hospital located in Mumbai, India is accredited by JCI, NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- It is spread over an area of 17 acres.
- There is also an academic institute with research facilities.
- SevenHills Hospital has excellent diagnostic services including a laboratory and a provision for various tests.
- Given that their are specific departments for various kinds of diagnostsic. Tests like PET Scan, MRI, CT scan and biopsies are completed regularly.
- Biochemistry, Hematology, Microbiology are some of the important diagnostic departments.
- Endoscopies as well as non-invasive procedures are done through their respective departments.
- Day care specialty services are available for those kinds of requirements.
- Health Check up packages are also present as are the collaborations with many insurance organisations.
- There are professionally managed in-patient and out-patient facilities.
- There are more than 30 super specialties in Seven Hills Hospital Mumbai.
- There are also Centres of Excellence in Cardiac Care, Neurosciences, Bone & Joint Care, Cancer Care, Nephrology and Cosmetic Dermatology.
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Sri Ramachandra Medical Centre
Chennai, India
2.9 ( 1 Reviews )
Sri Ramachandra Medical Centre located in Chennai, India is accredited by ISO, JCI, NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- The best minds in healthcare including specialists, and other healthcare professionals work together to treat patients with simple to complex and critical conditions.
- The number of inpatients and outpatients (annually) are 35,000 and 2,50,000 respectively.
- A wide range of surgical specialties, sub specialties are available in Sri Ramachandra Medical Centre Chennai.
- The bed capacity of the hospital is 800 which is inclusive of 200 Intensive Care Unit beds.
- Blood Bank and Eye Bank are available on a 24/7 basis.
Jaypee Hospital
Noida, India
Jaypee Hospital located in Noida, India is accredited by ISO, NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- 525 beds in the first phase
- 150 Critical Care beds
- 325 ward beds with Suite, Deluxe, Twin Sharing, and Economy options
- 18 Modular OTs
- 4 Cardiac Catheterization Lab with unqie Hybrid Operating Room
- 24 bedded Advanced Neonatal ICUs20 bedded Dialysis Units
- 2 Linear Accelerator (IMRT, VMAT, I
- GRT), Wide Bore CT Simulator, one Brachytherapy Suite
- True Beam STx Linear Accelerator
- 2 MRI (3.0 Tesla) with High-Intensity Focused Ultrasound
- 64 Slice PET CT, Gamma Camera, Dual Head 6 Slice SPECT CT
- 256 Slice CT Scan, CT Simulation
- Amongst the few GOLD LEED-certified hospital buildings in India
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- Accommodation arrangement for the accompanying attendant
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Fortis Hiranandani Hospital
Mumbai, India
- Fortis Hiranandani Hospital, Vashi, Navi Mumbai, is a leading NABH-accredited multi-super speciality hospital offering advanced tertiary care with over 150 beds.
- The hospital is known for clinical excellence in Cardiac Sciences, Oncology, Neurology, Orthopaedics, Organ Transplants, Urology, Gastroenterology, and Critical Care.
- With a strong team of experienced doctors, modern medical technology, and international patient services, the hospital provides comprehensive and patient-focused treatment.
- It maintains high standards of safety, hygiene, and quality care, making it a trusted healthcare destination in the Mumbai Metropolitan Region.
Fortis Hospital, Shalimar Bagh
Delhi, India
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- Fortis Hospital, Shalimar Bagh, New Delhi, is a leading multi-super-speciality hospital established in 2010, known for advanced medical technology and compassionate patient care.
- The hospital has 375 beds, including 166 ICU beds, and features 10 modular operating theatres along with specialised ICUs and Level III NICU/PICU. Fortis Shalimar Bagh offers care across Cardiology, Neurosciences, Oncology, Orthopaedics, Transplants, Urology, and Mother & Child Health, supported by NABH and NABL accreditation.
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Aakash Healthcare Super Speciality Hospital
Delhi, India
Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
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Aster Medcity
Kochi, India
- 670 bed facility
- 24 hours Emergency and Trauma Care
Aster Centres of Excellence
- Cardiac Sciences
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Medicana Camlica Hospital
Istanbul, Turkey
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Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 150 bedded Hospital
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Memorial Sisli Hospital
Istanbul, Turkey
Memorial Sisli Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
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+99Process Involved for Palmar Fasciectomy
Treatment Stages for Palmar Fasciectomy are:-
- Evaluation – The surgeon assesses the hand’s condition, finger mobility, and severity of contracture to determine suitability for surgery.
- Preoperative Planning: Imaging and blood tests may be performed; patients are advised about the procedure, risks, and recovery.
- Anaesthesia – Local, regional, or general anaesthesia is administered based on the case complexity and patient preference.
- Surgical Procedure – The surgeon carefully removes the thickened fascia from the palm to release the contracted fingers.
- Wound Closure – The incision is closed using sutures, and a dressing is applied to protect the site.
- Recovery & Rehab – Patients undergophysiotherapy and hand exercises to regain strength, flexibility, and full function.
- Follow-up – Scheduled visits ensure healing and monitor for recurrence or complications.
Conditions treated by Palmar Fasciectomy:
- Dupuytren’s Contracture – The primary condition treated is where thickened tissue in the palm causes fingers (especially the ring and little fingers) to bend inward.
- Fibromatosis – A broader fibrous tissue disorder that may result in thickened cords in the hand, affecting mobility.
- Recurrent Contracture – In cases where a previous surgery failed or the condition returned, palmar fasciectomy is performed again to restore hand function.
- Functional Impairment—This surgery can significantly helppatients experiencing difficulty gripping or opening the hand due to fibrous bands.
- Severe Hand Deformity—This surgical procedure can correct or improve Advanced cases of contracture, which can cause deformity and disability.
- Assessment – The surgeon evaluates the hand’s condition, examining the severity of contracture and mobility of fingers to determine if surgery is needed.
- Preparation – The area for surgery is cleaned and sterilised, and the surgeon marks the incisions to guide the procedure.
- Anaesthesia – Depending on the case, the patient is given either local, regional, or general anaesthesia for comfort during the procedure.
- Surgical Incision – The surgeon makes an incision in the palm and possibly fingers to access the affected tissue.
- Tissue Removal – The thickened fascia is carefully excised, releasing the contracture, with precautions to preserve nearby structures.
- Closure – After controlling any bleeding, the incision is sutured, and the area is covered with a sterile dressing to prevent infection.
- Recovery Monitoring – The patient is monitored for immediate complications, and the hand is elevated to reduce swelling.
- Post-Surgery Rehabilitation – Physiotherapy and hand exercises begin to restore the full range of motion, strength, and functionality.
- Fasciotomy
- Dermofasciectomy
- Tenolysis
- Z-plasty
- Grafting
- Splinting
- Debridement
- Physiotherapy
Benefits of Palmar Fasciectomy include:
- Relief – The procedure effectively releases tight bands in the palm, reducing hand contracture caused by Dupuytren’s disease and easing discomfort.
- Mobility – It significantly enhances the range of motion in affected fingers, allowing smoother and more natural hand movements.
- Function – By improving finger extension, patients regain the ability to perform essential daily tasks like writing, grasping, and lifting.
- Precision – Surgeons can target and remove only the diseased tissue, preserving healthy structures and reducing the risk of complications.
- Recovery – Most individuals experience sustained improvement and minimal recurrence with appropriate post-operative physiotherapy.
- Independence – Restored hand function increases self-reliance in personal care and occupational duties, improving overall quality of life.
The following are the treating team members for Palmar Fasciectomy:
- Surgeon
- Anesthesiologist
- Nurse
- Physiotherapist
- Technician
- Assistant
- Counselor
- Coordinator
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