Hand Surgery and Microsurgery Clinic

Chularat Cholvaej Hospital

Hand Surgery is a specialised field encompassing the diagnosis and treatment of disorders affecting the hand, wrist and forearm. Treatment may involve either conservative management or surgical intervention, drawing on knowledge from multiple disciplines, including orthopaedic surgery, plastic surgery and neurosurgery.

Microsurgery is a surgical technique that uses high-powered magnification and specialised instruments to repair small anatomical structures, such as blood vessels and nerves. It is particularly important in cases of severe trauma or limb replantation, where a high degree of precision and accuracy is required.

Indications for Treatment

The clinic provides care for a wide range of clinical conditions, including:

• Injuries of the hand and wrist, such as fractures, tendon tears and nerve injuries
• Nerve compression disorders, such as Carpal Tunnel Syndrome
• Degenerative diseases of the joints and tendons, including rheumatoid arthritis
• Trigger finger and tendinitis
• Congenital abnormalities of the hand
• Tumours or masses in the hand and wrist

The choice of treatment depends on the severity of the condition, the nature of the underlying pathology and assessment by a specialist physician.

Treatment Techniques and Technologies

The Hand Surgery and Microsurgery Clinic applies internationally recognised treatment techniques, including:

• Tendon repair
• Nerve repair
• Internal fixation
• Nerve decompression
• Replantation
• Microsurgical free tissue transfer

The application of microsurgical techniques can improve the likelihood of successful treatment, particularly in cases involving injuries to small blood vessels and nerves.

Treatment Goals

The primary objectives of hand surgery include:

• Restoring hand function as close to normal as possible
• Relieving pain and preventing long-term complications
• Preserving the structural integrity and appearance of the affected body part
• Promoting patients’ quality of life

Treatment outcomes depend on both the precision of surgery and appropriate post-treatment rehabilitation.

Multidisciplinary Care

Hand surgery requires collaboration among a multidisciplinary team, including specialist physicians, nurses, physiotherapists and occupational therapists, to provide comprehensive rehabilitation addressing both structural recovery and functional use of the hand.

The Hand Surgery and Microsurgery Clinic at Chularat Cholvaej Hospital focuses on delivering care based on high academic and clinical standards. By integrating specialised medical knowledge, advanced technology and the experience of specialist medical teams, the clinic aims to provide appropriate and safe treatment, enabling patients to return to their daily activities with the highest possible level of functional independence.