Hand surgery is sometimes necessary to treat issues that are painful and/or hinder function, strength, or flexibility. Issues from trauma, sports injuries, work activities, tumors (benign or malignant), falls, congenital (present at birth) as well as degenerative.

In many cases, we can perform procedures minimally invasively as opposed to traditional “open” surgery.

Common Hand Procedures: Carpal-tunnel release, and trigger-finger release.

Also other procedures:

• Hand fractures
• Amputations
• Lymphedema
• Degenerative and Rheumatoid arthritis
• Repair tendons and ligaments
• Wrist Arthroscopy and helping with pain and ligaments

Most women are candidates for breast reconstruction, it can be performed at the same time as the mastectomy (immediate reconstruction) or later, regardless of the time that has passed.

There are different types of reconstructions:

• Expanders or prostheses
• Tissue from the patient herself with or without microsurgical technique (autologous reconstruction)
• A combination of these

The goal of breast reconstruction is to restore one or both breasts to near normal shape, appearance, symmetry and size following mastectomy, lumpectomy or congenital deformities.

The selection of the reconstruction method is individualized according to the conditions and wishes of the patient.

This is a painful accumulation of fluid in the arms and legs. Compression garments and anti-inflammatory drugs can ease the swelling, and electric pumps can push the fluid along, but neither provides a long-lasting solution.

The lymphatic system extends throughout the body, with vessels that absorb protein-rich and white blood cell–filled fluid from tissues and transport it to lymph nodes. When the vessels can’t properly drain this fluid, it builds up in the tissue, causing lymphedema.

Risk factors of developing lymphedema include:

• Certain types of cancer that affect the lymphatic system
• Radiation therapy (radiotherapy) that causes scarring of the lymph nodes and vessels
• Surgery to remove lymph nodes
• Trauma and tissue damage
• Venous disease
• Being overweight
• Infection in a limb such as cellulitis
• Some chemotherapy drugs
• Existing problem with the lymphatic system
• Parasites – such as worms, which may inhabit and block a lymphatic vessel
• Decreased mobility

Severe wounds can cause a significant amount of damage to the skin and musculoskeletal system and may need surgical treatment to heal properly.

Some types of open wounds include:

• Abrasions
• Lacerations
• Punctures
• Burns

There is a variety of methods to repair and reconstruct wounds so they heal correctly and visible scarring is minimized.

• Skin Grafts
• Flap Surgery or Microsurgery
• Hair Implants

Reconstructing the skin and muscle tissue at the site of a severe wound not only helps reduce scarring, but aids in wound healing.