Preparing to Recover From Hand Surgery

Hand Surgerypic
Hand Surgery

For the past several years, Anthony Perrone, MD, has provided plastic and reconstructive surgery for congenital issues, oncologic processes, and traumatic injuries. Holding an MD from Dartmouth Medical School, Dr. Anthony Perrone serves as chief plastic surgeon at Maine General Medical Center, where he performs hand and upper extremity surgery.

Since you need to reduce hand movement for several weeks after a hand surgery, you must plan ahead for the procedure. This includes arranging your home so chairs and items are easily accessible and labeling belongings that are heavy to help you remember what you should and shouldn’t lift. Further, prepare your meals in disposable bakeware before surgery so you can reheat them without straining your hand and get plenty of straws in case you struggle with lifting mugs or cups.

Beyond preparing your home, recovering from hand surgery requires a few lifestyle changes, such as stopping smoking and elevating the hand. Limiting stress through exercise, yoga, or socialization also helps the hand heal faster. However, you should check with your physician before engaging in any physical activity to ensure it is safe.

Finally, always follow post-operative instructions. Through these, you will learn how to avoid stiffness in your hand and see a rough guide for how long the recovery process is for your specific injury. Depending on the type of hand surgery you’ve had, the recovery process may take six to 14 weeks or longer. After that, you may have to wait another six months to fully regain strength and movement.

Treating Congenital Hand Deformities

Anthony Perrone
Anthony Perrone MD

Serving patients in the Augusta, Maine, community, Anthony Perrone, MD, has a plastic surgery background that includes burn reconstruction and microsurgery techniques. Dr. Anthony Perrone is also experienced in operating on patients with congenital hand deformities.

Present at birth, these types of hand conditions make life challenging for babies, as they interact with many things primarily through use of the hands. Minor conditions include digital disproportion, and severe cases extend to the complete absence of a bone.

One relatively common issue involves parts of the hand ceasing to develop in the womb, which can result in a missing structure or complete absence. In cases of a missing hand, surgery is not typically recommended, but prosthetic devices are introduced at as early a stage of development as possible. Surgery is typically indicated when parts of the hand fail to separate, as with syndactylism, which involves one or more fingers being fused together.

Reconstructive Microsurgery – Enabling Hand and Limb Replanting

Reconstructive Microsurgery pic
Reconstructive Microsurgery

Based in Augusta, Maine, Anthony Perrone, MD, provides care that spans general and plastic surgery. Dr. Anthony Perrone’s training in the field includes a hand and microsurgery fellowship undertaken at Harvard University and Massachusetts General Hospital.

An advanced surgical field, reconstructive microsurgery involves the use of highly specialized microscopes with the capacity to guide operations within tiny structures. The microscopes enlarge the physician’s view up to 50 times, which enables the use of precision instrumentation in confined spaces. Common uses of the microscopes, which facilitate stitches finer than a single human hair, include repairing nerves and blood vessels that have been transected.

The ability to reestablish blood flow between tiny severed nerves and vessels has had an outsized impact over the past half century. Since the early 1960s, severed limbs, toes, and fingers have been successfully replanted. The discipline has been augmented in recent years with new robotics and computing technologies.

Requirements and Processes for ABPS Written and Oral Examinations

American Board of Plastic Surgery (ABPS)

For more than 10 years, Anthony Perrone, MD, has been training and practicing as a plastic surgeon. The chief plastic surgeon at MaineGeneral Medical Center in Augusta, he completed comprehensive training after earning his MD that included a fellowship in hand and microsurgery in addition to another in plastic and reconstructive surgery. Dr. Anthony Perrone also maintains board certification with The American Board of Plastic Surgery (ABPS).

An independent organization, ABPS promotes safe and ethical plastic surgery. Toward this end, it administers certifications to professionals. Each candidate for board certification must complete a written and an oral examination.

In order to complete the written exam, candidates must apply and pay for their certification. The Board needs proof of a valid state medical license or registration certification, along with an ECFMG and RCPSC Certificate, if applicable. Furthermore, candidates must verify that they’ve completed training in general, neurological, orthopedic, or thoracic surgery. Assuming a candidate completes these requirements, he or she is sent a reply form. When returning this form, he or she must include appointment letters verifying his or her privileges to practice plastic surgery and current accreditation certificates.

After candidates pass their written exam, they are asked to submit a nine-month case list as part of their oral exam. Each case list must include a statistical summary report and further verification of hospital privileges. There must be at least 50 operative cases included on the finalized copy, and the Board encourages candidates to begin taking pictures of each case starting July 1st, the beginning of the case collection period. Similar to the written exam, candidates also receive an oral exam reply form that must be returned with appointment letters, certificates, and explanations for any questions asked about the submitted cases.