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Dupuytrens fasciectomy, or Palmar fasciectomy, is surgery to treat Dupuytren’s contracture, a condition that causes thickening of the skin on the palm of the hand.
Dupuytrens fasciectomy is surgery to treat Dupuytren’s contracture, a condition that causes thickening of the skin on the palm of the hand and the gradual pulling of the fingers towards the palm.
Surgery corrects the local thickening of the skin in the palm of the hand or on a finger. It also corrects the fingers that have been pulled towards the palm of the hand. Sometimes both hands need to be treated
You may have this procedure if you have Dupuytren’s contracture, a condition that causes thickening of the skin on the palm of the hand and the gradual pulling of the fingers towards the palm.
This procedure involves the surgical removal of the thickened tissue which connects the hand and fingers. The operation may be carried out under a general anaesthetic (so you’ll be asleep during surgery) or a local anaesthetic (so you won’t be able to feel any pain).
Depending on the severity of the condition, the procedure can be carried out in one of three different ways:
After the surgery the finger(s) will be straighter, but daily exercises may be needed to maintain the benefits of the surgery. Occasionally patients may also need to wear a splint for some time after surgery
You may have some pain or discomfort after the operation which we’ll help you manage with painkillers. You may need to take some time off work.
We’ll tell you how to care for your wound and, if you’ve had non-dissolvable stitches, we’ll make an appointment for you to have them removed. The scar may be tender for several weeks. You may be recommended some hand therapy to help you recover full movement in your finger. This may involve physiotherapy or occupational therapy.