Some structures in the hand, like the nerves and arteries of a finger, are too small to repair with standard magnification. Microsurgery is done under an operating microscope at 10x to 40x magnification, with very fine sutures. It is used to repair cut nerves, graft or transfer nerves after older injuries, repair damaged blood vessels, reattach some amputated fingers, and move tissue to cover wounds after severe trauma.
Warning signs
- A cut finger or palm that is now numb on one side
- A finger that is pale, cold or blue after an injury
- A partly or fully amputated finger
- Numbness or weakness that remains after an old nerve injury
Treatment
A single nerve repair typically takes 1 to 2 hours as same-day surgery under a regional or general anesthetic. Finger reattachment takes several hours per finger with a hospital stay. Not every repair or reattachment succeeds, and stiffness is common afterward, so hand therapy is a central part of recovery. Dr. Loredo trained in microsurgery at the Kleinert and Kutz Hand Care Institute in Louisville, Kentucky.
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Questions patients ask
What is hand microsurgery?
Some structures in the hand, like the nerves and arteries of a finger, are too small to repair with standard magnification. Microsurgery is done under an operating microscope at 10x to 40x magnification, with very fine sutures. It is used to repair cut nerves, graft or transfer nerves after older injuries, repair damaged blood vessels, reattach some amputated fingers, and move tissue to cover wounds after severe trauma.
Which hand injuries may need microsurgery?
A cut finger or palm that is now numb on one side. A finger that is pale, cold or blue after an injury. A partly or fully amputated finger. Numbness or weakness that remains after an old nerve injury.
What is recovery like after hand microsurgery?
A single nerve repair typically takes 1 to 2 hours as same-day surgery under a regional or general anesthetic. Finger reattachment takes several hours per finger with a hospital stay. Not every repair or reattachment succeeds, and stiffness is common afterward, so hand therapy is a central part of recovery. Dr. Loredo trained in microsurgery at the Kleinert and Kutz Hand Care Institute in Louisville, Kentucky.
Who performs hand microsurgery near Southlake and Dallas-Fort Worth?
Dr. Pedro Loredo, a board-certified hand surgeon (General Surgery, American Board of Surgery; Hand Surgery, American Board of Plastic Surgery) at Loredo Hand Care Institute, 431 E State Hwy 114, Suite 380, Southlake, TX. New patients are seen within days. Call (972) 939-4974. Se habla español.
En español: Cirugía de la mano bajo el microscopio
Algunas estructuras de la mano, como los nervios y las arterias de un dedo, son demasiado pequeñas para repararse con el aumento habitual. La microcirugía se hace bajo un microscopio quirúrgico con aumento de 10 a 40 veces y con suturas muy finas. Se usa para reparar nervios cortados, injertar o transferir nervios después de lesiones antiguas, reparar vasos sanguíneos dañados, reimplantar algunos dedos amputados y trasladar tejido para cubrir heridas después de un trauma grave.
Señales de alerta
- Adormecimiento de un lado del dedo o de la palma después de una cortada
- Un dedo pálido, frío o morado después de una lesión
- Un dedo amputado total o parcialmente
- Adormecimiento o debilidad que sigue después de una lesión antigua de nervio
Tratamiento
Una reparación de un solo nervio suele durar de 1 a 2 horas como cirugía ambulatoria, con anestesia regional o general. Reimplantar un dedo lleva varias horas por dedo e internamiento en el hospital. No toda reparación o reimplante funciona y la rigidez después es común, por eso la terapia de mano es parte central de la recuperación. El Dr. Loredo se entrenó en microcirugía en el Kleinert and Kutz Hand Care Institute en Louisville, Kentucky.
If this sounds like your hand
Call Loredo Hand Care Institute or start your forms online. New patients are seen within days; surgery, when needed, is scheduled at the first available opening. Se habla español.