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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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Sterling Wockhardt Hospital
Mumbai, India
Sterling Wockhardt Hospital located in Mumbai, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- The bed capacity of Sterling Wockhardt Hospital is 50.
- Critical care and complex cases resolution is done with excellent results.
- Emergency departments with 3 beds capacity and Intensive Care Unit with 10 beds capacity.
- The healthcare delivery focus of the hospital is both on prevention as well curing the conditions.
- Diagnostics are well developed with the latest technological developments.
- Pharmacy, operating rooms, lab services are at par with the best in the country.
- 24/7 ambulance services to cover healthcare requirements in Panvel and Vashi.
- Accommodation, airport transfers, flight bookings and translation services are all available for international patients.
Star Hospitals
Hyderabad, India
Star Hospitals located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- The bed capacity of Star Hospitals, Hyderabad, India is 130.
- The hospital has Intensive Care Units which are upgraded with the latest technologies.
- International patient care services are applied to make the process of medical travel easier for international patients.
- Centres of Excellence across disciplines such as Cardiac Sciences, Renal Sciences, Critical Care, ENT, Spine Surgery etc.
- A radiology centre which has been digitised.
- There are Centers of Excellence for prominent specialties such as cardiac care and neurosciences, there are a total of six.
Fortis Malar Hospital
Chennai, India
Fortis Healthcare Chennai, part of India’s leading Fortis network with 33 hospitals and 5,700+ beds, is a 180-bed multispecialty facility featuring 60 ICU beds, 4 advanced OTs, and a digital cath lab. Staffed by 160 consultants, it delivers world-class, patient-centric care across cardiology, neurology, orthopaedics, and critical care. It has 4 JCI & 26 NABH accredited Hospitals.
Venkateshwar Hospital
Delhi, India
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Venkateshwar Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- The hospital has the latest healthcare facilities and world class infrastructure.
- It has a 325 bed capacity and 100 beds for critical care.
- There are as many as 10 operation theatres.
- The Intensive Care Unit and blood bank is also present within the hospital.
- There is complete support for international patients with facilities such as transfers, assistance for visa and accommodation, translators and insurance related assistance.
- Some of the departments in which medical services are available are Plastic and Reconstructive Surgery, Orthopedics, Gynecology, Cardiology, Neurology and Oncology.
- The hospital also provides treatment for infertility, weight loss and has physiotherapy and pain management services.
Medicana International Istanbul
Istanbul, Turkey
Medicana International Istanbul located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Covers an indoor area of 30.000 m
- Capacity of 191 beds
- 34 ICUs
- 8 NICUs
- 8 Operation Theatres
- Inpatient Floors
- Outpatient Floors
- Internal and Surgical Intensive Unit Care
- Cardiovascular Surgery Intensive Care Unit
- Coronary Intensive Care Unit
- Neonatal Intensive Care Unit
- Patient comfort CIP, VIP and Standard Patient Rooms
- Intensive care patient rooms
- Technology Advancement- PET-CT, ERCP, BT/MR 1.5 Tesla
Memorial Antalya Hospital
Antalya, Turkey
Memorial Antalya Hospital located in Antalya, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 114 patients and 28 intensive care beds
- 5 Operating theatres
- Radiology Department with advanced technology
- Intensive care units
- Interventional Radiology Unit
- Chemotherapy and Art Center
- The Hospital uses advanced technologies like Hydra Facial, Cardiac MR, Heart Tomography-Coronary CT Angiography and many more
- Patient rooms and living spaces with all the 5-star hotel features
Medicana International Samsun Hospital
Samsun, Turkey
Medicana International Samsun Hospital located in Samsun, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- International Samsun Hospital provides services in a closed area of 30.000 m2
- 9 elevators with pressure control have been designed for you in the hospital with 3 blocks, two of which are 11 floors and the other 10 floors
- Capacity of 249 beds
- 7 Operating Theatres
- 109 Intensive Care beds (19 Newborn, 7 Paediatric, 20 Coronary, 8 CVS, and 54 General)
- Laboratories - Biochemistry, Pathology, Hormone, Microbiology, Sleep Lab
- IVF Center
- Oncology Center
- The Hospital serves patients with a team of about 99 specialists and academicians in 40 branches and 631 employees
- Medicana International Samsun uses advanced technology & modern equipment such as BT/MR 1.5 Tesla, 3d Conformal, Thermal Welding, Holmium Laser, 4D Ultrasonography, Color Doppler Ultrasonography, Mammography, and Radiotherapy; in order to perform safe, authentic and quick treatment
- All kinds of rooms are available for the patients- Single, Suite and VIP Rooms. Patient rooms are equipped with the latest technology and comfort
- Amenities provided in the room for patients and their relatives- TV and Minibar in each room, 24-hour interrupted Cafeteria service, central air-conditioning ventilation system in each room, Internet access, phones in rooms, and much more
- Cafeteria/Restaurant
- Pharmacies on Duty
- Parking lot with a capacity for 50 vehicles
NMC Royal Hospital, Khalifa City
Abu Dhabi, United Arab Emirates
NMC Royal Hospital, Khalifa City located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Capacity for 500 beds
- 53 Critical Care beds
- 24-hour Emergency Services
- 24-hour Ambulance Service
- OPD (Outpatient department treatment)
- An Automated Laboratory
- The Hospital has the first hybrid Operating Theatre with flex move system
- First NICU and PICU Combination set up
Medicana International Ankara Hospital
Ankara, Turkey
Medicana International Ankara Hospital located in Ankara, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Area of 20.000 m2
- Capacity for 207 bed capacity
- 8 Operating rooms
- 26 Observation beds
- 17 internal and surgical intensive care units
- 9 cardiovascular intensive care units
- 10 incubators
- 5 Coronary Intensive Care Unit
- Neonatal intensive care unit (NICU)
- IVF Center
- Advanced Oncology Unit
- Bone Marrow Center
- Organ Transplant Center
- Cardiology center
- Obesity Center
- Clinical Services
- In-house Pharmacies
- Parking capacity of 50 vehicles and free valet service
- Patients rooms are fully equipped and categorized as Suite room, VIP room and standard room
Rabin Medical Center
Petah Tikva, Israel
Rabin Medical Center located in Petah Tikva, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- There are as many as 6 intensive care departments at the center.
- The hospital has been able to treat and manage complex heart conditions by exceptional cardiologists.
- The Emergency care services of the hospital have also helped a large number of patients.
- The Cardiothoracic Center is also worth mentioning for the care it has provided to patients.
- The hospital is also recognised for its organ transplantation facilities with 70% of organ transplants in Israel done in Beilinson Hospital.
- Bone Marrow transplants performed at the Davidoff Cancer Research and Treatment Center have been a boon for many patients.
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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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