Microfasciectomy in Dupuytren’s disease: microsurgery in the evolution toward safer and more efficient fasciectomy and hand surgery

In the long term, limited fasciectomy is currently the most reliable treatment for Dupuytren’s contracture. The risk for complications is significant, certainly in recurrent disease and in the presence of abundant scar tissue. Meticulous surgical technique is mandatory. Microsurgery increases...

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Bibliographic Details
Main Authors: Ilse Degreef, Kira Vande Voorde, Maarten Van Nuffel
Format: Article
Language:English
Published: Bioscientifica 2023-05-01
Series:EFORT Open Reviews
Subjects:
Online Access:https://eor.bioscientifica.com/view/journals/eor/8/5/EOR-23-0033.xml
Description
Summary:In the long term, limited fasciectomy is currently the most reliable treatment for Dupuytren’s contracture. The risk for complications is significant, certainly in recurrent disease and in the presence of abundant scar tissue. Meticulous surgical technique is mandatory. Microsurgery increases magnification from four times (with surgical loupes) up to 40 times. Using the microscope in Dupuytren’s surgery, a technique named microfasciectomy is likely to increase both safety and efficiency by preventing instead of treating surgical complications. Increased experience with microsurgery will benefit Dupuytren’s treatment and hand surgery in general.
ISSN:2058-5241