The Gregorio Marañón traumatologists repaired pathologies of the hand with minimal surgery alone in the world.

– with experimental material and an ultrasonically to see through the skin ” address 80% of diseases of the hand

-do not open the Palm of the hand to avoid scars up to 30 centimeters, with better results and without entering the patient

– have increased operations of carpal tunnel syndrome, finger spring or more than 300% Dupuytren disease

Madrid, January 2012- Traumatologists hospital Gregorio Marañón, belonging to the public network of hospitals in the community of Madrid, have developed a program pioneer at the world in which, with less than a millimeter incisions, addressing most of the pathologies of the handtreated with conventional surgery could leave scars up to 30 centimeters in the hands of patients.

Thanks to this program of ambulatory minimum invasion surgery get better clinical outcomes with respect to other techniques, patients do not require stitches, most are without pain during the first three days after the operation, and achieve a functional recovery in the first 10 days and a labour reintegration each ten times faster than with other surgical techniques, remarkably improving the aesthetic result.

The traumatologists of this unit have been created or modified instruments that allows them, guided by an ultrasonically, display the injury through the skin, allowing address 80% of diseases of the hand by minimally invasive ultra surgery interventions, as the vast majority are sufficient incisions of 0.5 mm to repair the lesionn ”, ensures the traumatologist hospital Gregorio Marañón and coordinator of research, José Manuel Rojo Manaute unit. To do this they had to describe a new anatomical map based on images which showed the ultrasonically.

All this without having to open the Palm of the hand as it is usually done in conventional surgery, leaving scars of up to 30 centimeters in some cases, with points of suture, post-operative painful and hospital admissions. With this innovative program the patient does not have admitted to the hospital, commissioned the same day of the intervention and do not require any special postoperative care. More than 500 patients have been treated.

More interventions in less time

This new method of surgery minimally invasive addresses up to 27 different pathologies of the hand as the tunnel syndrome of the Carpus, fingers in spring, Dupuytren, sections of tendons disease, rigidities of fingers, epicondylitis, skin grafts in fingers or hands or Arthrodesis on fingers to name a fewwhich represents 80% of the pathology types covered in the unit of surgery of the hand of this health centre of the community of Madrid.

Most of them only requires half millimeter incisions to be operated, while elsewhere the hole needed to introduce the material and to repair the injury is of 3 millimeters.

One of the most common hand injuries is the tunnel syndrome of the Carpus, which consists of the atropamiento on the wrist of the nerve sensitivity overlooking half of the Palm of the hand and force your thumb.

While this intervention could last between 15 and 20 minutes through conventional surgery, the traumatologists of this Unit carried out in 3.5 minutes with a cut of a half millimeter.

Since its commissioning, with this program the Gregorio Maranon hospital did increase the number of interventions in more than 300% – given that it also diminishes the time between surgical interventions – and move much of the pathology of the hospital to outpatient, that interventions that take place in this unit are carried out under local anesthesia without sedation and without anesthetic, thus allowing release the Hospital operating rooms for larger interventions that consume more human and technical resources, and report a remarkable health savings to require few resources to carry out operations.

The unit of surgery of the hand of the Gregorio Maranon hospital is composed of a group of researchers of multidisciplinary and interhospitalario profile, involving traumatologists and rehabilitation hospital and La Paz, if well during the two years and means of investigations that have resulted in this program have been involved researchers from the regional unit of the sports medicine of the Principality of Asturias; the Centre of the main, of Nice, France; and the departments of Anatomy of the Autonomous University of Madrid and the University of Oviedo, and have been funded by several companies.