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Home « Clinical Services « Hand & Wrist

Information for patients with Dupuytren's Disease.

Edited By: Thomas Trumble, M.D.
Last updated Wednesday, January 12, 2005

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Causes and effects

What are the technical details of palmar fasciectomy for dupuytren's disease? What is actually done?

Prior to surgery the surgeon will decide with the patient which fingers will be operated on. At the time of surgery a tourniquet (similar to a blood pressure cuff) is placed around the arm above the elbow. The arm and hand are prepared with an antimicrobial solution to decrease the risk of infection. After applying sterile drapes around the hand and arm the tourniquet is inflated to control bleeding in the hand. Next, the surgeon will make incisions in the palm and in the affected fingers. The incisions are all on the palm side of the hand. Through these incisions the surgeon identifies and exposes the abnormal fascia (Dupuytren's tissue). During the dissection of the Dupuytren's tissue the arteries and nerves going to the fingers are identified and protected to prevent injury. All abnormal fascia is removed, allowing improved motion of the affected finger. Sometimes it is necessary to further release structures around affected joints in order to achieve improved motion. The surgeon may make "Z" shaped incisions over areas of skin tightness to allow lengthening of the skin, further improving finger motion. Next, the tourniquet is deflated and bleeding controlled. The incisions are closed (though some may be left open to allow drainage) and a dressing and splint are applied.

What is the typical anesthetic used for palmar fasciectomy for dupuytren's disease?

Surgery for Dupuytren's disease can be done with local or regional anesthetics (techniques to "freeze" the hand or limb) or general anesthesia ("going to sleep"). The decision as to what type of anesthetic to use is made by the patient, anesthetist and surgeon and depends on the anticipated length of the procedure and the patients overall health.

How long does palmar fasciectomy for dupuytren's disease usually take?

The length of the surgical procedure is directly related to the number of fingers involved and the severity of involvement. For this reason surgery can take anywhere from one to several hours.

Surgery for Dupuytren's Disease at the University of Washington

If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-4537 to make an appointment.

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