Types of Hand Surgery

Anthony Perrone
Anthony Perrone MD

Dr. Anthony Perrone studied for his MD at Dartmouth Medical School and serves as the chief plastic surgeon in the Department of General Surgery at Maine General Medical Center in Augusta. Over the years, he has held plastic surgeon positions at such institutions as Tufts University and Harvard University. Although he handles a wide range of procedures, Anthony Perrone, MD, is particularly skilled in hand surgery. There are several different types of hand surgery that are performed based on the underlying problem that must be addressed. Below are just some of these different types:

Tendon repair. The tendons are responsible for attaching muscle to bone. They can become damaged due to trauma, spontaneous rupture, or infection. Tendon repairs are divided into three categories based on how soon the procedure is performed. Primary repairs occur within 24 hours of an injury while delayed primary repair is performed within a few days. Secondary repairs are done two to five weeks after the injury.

Carpal tunnel release. Often caused by repetitive movements, carpal tunnel syndrome occurs when the carpal tunnel ligament and bones at the hand’s base become inflamed. The pressure being placed on these nerves can be relieved through a carpal tunnel release procedure. As a result, movement and blood flow within the hand is improved.

Ganglion cyst removal. Ganglion cysts can form in the wrist and hand when synovial fluid, a thick fluid that helps joints move slowly, leaks out of joint and tendons. These cysts feel firm when they are pressed and are often found on the back of the wrist. In certain cases, the cysts will go away spontaneously. However, if they become painful or limit hand movement, surgical drainage or removal may be required.

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The American Board of Plastic Surgery – Becoming a Diplomate

American Board of Plastic Surgery  pic
American Board of Plastic Surgery
Image: abplasticsurgery.org

Though Dr. Anthony Perrone focused on pharmaceutical work at the beginning of his career, he now puts his MD to work in the field of plastic surgery. At MaineGeneral Medical Center, Anthony Perrone, MD, serves as chief of plastic surgery. He has been a diplomate of the American Board of Plastic Surgery since 2010.

The American Board of Plastic Surgery was started in 1937 as interest in plastic surgery began to grow. Four years later, the American Medical Association recognized the discipline of plastic surgery to be worthy of a major specialty board.

To become board certified in plastic surgery, candidates must pass a set of examinations. The written exam is designed to test factual knowledge across many facets of plastic surgery.

A second examination, given orally, presents candidates with scenarios designed to test judgment and reasoning. Candidates are expected to explain and defend their strategies and often are faced with additional problems and complications.

Physicians become diplomates of the board after passing both exam sections. Certification expires after 10 years, requiring diplomates to engage in ongoing professional development to maintain their credentials.

A Brief Introduction to Body Contouring After Weight Loss

Anthony Perrone
Anthony Perrone MD

Anthony Perrone, MD, serves as chief plastic surgeon at Maine General Medical Center in Augusta, Maine. In this position, Dr. Anthony Perrone provides patients with a variety of reconstructive procedures. He excels in various areas of plastic surgery, including burn reconstruction and body contouring after massive weight loss.

Weight reduction surgeries can provide many individuals with vital, lifesaving health benefits. However, the rapid loss of large amounts of weight can leave certain parts of the body out of balance with others. In order to address these issues, patients may be interested in body contouring. Body contouring, as provided by a trained plastic surgeon, can address issues of excess skin and sagging fat while at the same time reshaping the underlying tissue.

Body contouring is not a procedure itself, but rather an umbrella term used to describe a number of related surgeries. Some of the more common body contouring procedures include facelifts, breast lifts, tummy tucks, and medial thigh lifts. Individuals preparing for rapid weight loss surgery should discuss body contouring options with their surgeon.

Three Categories of Breast Reconstruction

Anthony Perrone
Anthony Perrone MD

A graduate of Dartmouth Medical School, Anthony Perrone, MD, began his surgical practice. After he completed his postdoctoral training, Dr. Perrone focused on plastic and reconstructive surgery. Currently, Anthony Perrone, MD, serves as chief plastic surgeon at Maine General Medical Center, performing surgical procedures such as breast reconstruction.

The purpose of breast reconstruction surgery is to recreate a breast using prosthetic implants and autologous tissue. It is most often conducted on patients who have undergone mastectomy or breast removal due to breast cancer. Breast reconstruction has three categories, namely:

Expander or implant reconstruction. Empty silicone packets called expanders are inserted under the patient’s pectoralis muscle. Over the succeeding weeks, surgeons gradually fill the expanders with saline solution through a valve, to allow the soft tissues to stretch. Implants, on the other hand, are filled with saline solution or silicone gel, taking the shape of the breast mound. An implant replaces the lost breast tissue as it is inserted over the chest wall once the tissue expander is removed.

Autologous tissue reconstruction. In this procedure, surgeons use tissue taken from a different part of the body, usually from the abdomen, and move it up to the chest to reconstruct the breast. When a patient has enough tissue, the use of an implant becomes unnecessary. Tissues from the buttocks or thighs can also be used as reconstructive breast tissue.

Combination of tissues and implants. When a patient is not qualified to receive either of the aforementioned procedures alone, surgeons can combine the two methods by inserting an implant and covering it with tissue. This method is commonly referred to as latissimus dorsi (LD) muscle flap plus implant, which gives the patient a more natural-looking breast, with the tissue layering the implant.