Dupuytren's Fasciectomy | HMT St Hugh's Hospital

Dupuytren’s Fasciectomy

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What is Dupuytren’s disease?

Dupuytren’s disease is a condition where scar-like tissue forms just beneath the skin of your fingers and the palm of your hand. Over time, this fibrous tissue can contract and force one or more fingers to curl up into the palm. This is known as Dupuytren’s contracture.

What are the benefits of surgery?

You should be able to make better use of your hand and straighten the affected fingers more.

Are there any alternatives to a Dupuytren’s fasciectomy?

Your surgeon may be able to perform a needle aponeurotomy. This involves cutting the bands in your hand using a needle and a local anaesthetic, and avoids making a larger cut on your skin.

Dupuytren’s contracture can be treated by injecting Botox or collagenase into the bands of tissue but this is a new treatment and it is unclear how effective it is.

What does the operation involve?

The surgery can range from simply cutting a fibrous band in the palm of your hand to removing all the affected skin and replacing it with skin grafts.

Various anaesthetic techniques are possible.

How soon will I recover?

You should be able to go home the same day.

Your surgeon may arrange for you to have a splint to wear on your hand at night, and some physiotherapy to help get your fingers moving again.

It is also important to exercise your shoulder and elbow gently to prevent stiffness.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

It can take some time for your hand to settle.

Your fingers may curl up into your palm again in the future.

What complications can happen?

General complications of any operation

Pain
Bleeding
Infection of the surgical site (wound)
Scarring

Specific complications of this operation

Injury to an artery in your finger
Incomplete correction of the Dupuytren’s contracture
Return of Dupuytren’s disease
Stiffness of your finger joints
Numbness in your fingers operated on
Wound-healing problems
Severe pain, stiffness and loss of use of your hand

Availability

NHS/Private

Pricing*

Consultant

£698

Anaesthetist

£247

Hospital

£3659

Prices start from

£4604

*The prices shown are minimum guide prices only. Diagnostic scans and investigations are not included unless otherwise stated. The exact cost of treatment will be made clear to you before you proceed.

This document is intended for information purposes only and should not replace advice your healthcare team gives you. This information is published under license from EIDO Healthcare UK and is protected by copyright. Other than for your personal, non-commercial use, you may not copy, print, download or otherwise reproduce it.

A Dupuytren’s fasciectomy should straighten your fingers and give you a worthwhile improvement in the function of your hand.

What to do next

Talk to us about ways to pay, either insured or self-pay, and find out if you need a referral from your doctor.
If you need one, ask your doctor for a referral letter.
Call us to book an appointment with a consultant.

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I had an amazing experience during my time at St Hugh’s Hospital, from my initial consultation to the aftercare following my procedure. Communication with the cosmetic nurse was brilliant; every member of staff I met was kind respectful, caring and polite. My surgeon was fantastic, so professional and kind, I trusted his knowledge completely.