Fasciectomy (say "fash-ee-EK-tuh-mee") is surgery to cut out a
layer of tissue called the fascia (say "FASH-ee-uh") that lies deep under the
skin. In Dupuytren's (say "doo-pwee-TRAHNZ") contracture, the fascia of the palm
of the hand becomes thick and tight. This causes the fingers to become stiff
and to curl toward the palm. Removing the fascia can help relax the fingers.
This surgery may be done while you are asleep
or while you are awake. If you are awake, you will get medicine to numb your
hand and prevent pain. You may also get medicine to help you relax.
The doctor will make a cut, called an incision, in the skin of
your palm. He or she will remove the thickened fascia. The doctor will close
the incision in your palm with stitches. After surgery, you will have a scar on
your palm and on one or more fingers. This will fade with time.
You will go home on the same day as the surgery. It will probably take
about 6 weeks for your hand to heal. How soon you can return to work depends on
your job. If you can do your job without using your hand, you may be able to go
back in 1 to 2 weeks. But if your job requires you to do repeated finger or
hand movements, put pressure on your hand, or lift things, you may need to take
6 to 12 weeks off work.
For the first few weeks after surgery, you
will probably need to wear a splint. You may need to do hand exercises to help
reduce the swelling and stiffness. After
several weeks, your hand and fingers may be more flexible. You may be better
able to fully open your hand.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all
appointments, and call your doctor if you are having problems. It's also a good
idea to know your test results and keep a list of the medicines you
Surgery can be
stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.
Go to https://www.healthwise.net/patientEd
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Current as of:
May 23, 2016
Adam Husney, MD - Family Medicine
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