Patient information
Everything you need to know before and after your hand surgery.
Before surgery
It is important that you are well informed before any procedure. I will explain in detail the procedure, the risks and benefits, and we will sign the informed consent together.
If you have any questions, do not hesitate to ask me during the pre-operative consultation. The more informed you are, the calmer you will face surgery.
Pre-operative studies
Depending on your procedure and health status, you may need:
- Blood test (complete blood count, coagulation)
- Electrocardiogram
- Chest X-ray (in some cases)
- Pre-anaesthesia consultation with the anaesthetist
Types of anaesthesia
Most hand surgeries are performed under regional anaesthesia, which means only the affected arm is numbed. This offers several advantages:
- No prolonged fasting required for minor procedures
- Faster recovery
- Lower risk of side effects
- Prolonged post-operative pain relief
In some cases, general anaesthesia or sedation may be required. The anaesthetist will assess the best option for you.
The day of surgery
General instructions for the day of your procedure:
- Fasting: Do not eat or drink anything for 8 hours beforehand (if under general anaesthesia or sedation)
- Hygiene: Shower on the morning of the procedure. Do not wear nail polish, jewellery, or makeup
- Clothing: Wear comfortable, loose clothing, preferably with wide sleeves
- Medication: Discuss your regular medication with the anaesthetist and which medicines you can continue taking on the day of the procedure
- Companion: Come accompanied, as you will not be able to drive after the procedure
- Punctuality: Arrive at least 30 minutes early
Post-operative care
After surgery, it is essential to follow these recommendations for a good recovery:
- Elevation: Keep your hand elevated above heart level for the first 48-72 hours to reduce swelling
- Bandage: Do not remove or wet the bandage unless instructed. Keep the dressings clean and dry
- Medication: Take the prescribed painkillers regularly, without waiting for severe pain to appear
- Mobility: Move the fingers that are not immobilised to promote circulation
- Ice: You can apply cold locally (without direct skin contact) to relieve swelling
- Rest: Avoid straining the operated hand for the time indicated
Warning signs
Contact me or go to the emergency department if you experience any of these symptoms:
- Severe pain that does not improve with prescribed medication
- Excessive swelling or progressively increasing inflammation
- Fever above 38°C
- Colour change in the fingers (bluish, white, or very pale)
- Loss of sensation or persistent intense tingling
- Active bleeding soaking through the bandage
- Bad smell or discharge through the bandage
When in doubt, it is always better to consult. You can contact me via WhatsApp for surgical emergencies.
Rehabilitation
Rehabilitation is an essential part of recovery after hand surgery. In many cases, you will work with a specialised hand physiotherapist.
- Faithfully follow the exercise instructions given by the medical team
- Consistency is key: do the exercises several times a day
- Do not push beyond what is indicated, but do not skip the exercises either
- Recovery time varies depending on the procedure: from weeks to several months
I will give you specific instructions for your particular case and will follow up throughout the recovery process.