Hand & Limb
Hand replantation at the wrist
The hand survived. At nine months the wrist had healed, the fingers extended and flexed actively, and the replanted hand sat level with the uninjured one.
9 months post-op
HAND SURGERY • TRAUMA & ELECTIVE
Hand Surgery in Ahmedabad by Dr. Aniket Dave
Surgeon-led care for the hand and upper limb — from acute injuries and replantation to carpal tunnel, trigger finger and Dupuytren's — with hand therapy built in from day one.
- Duration20 min – 8 hours
- RecoveryDays to several months
- AnaesthesiaLocal, regional or general
- DowntimeProcedure-dependent
Hand & Limb
What is Hand Surgery
The procedure, explained.
Hand surgery is the branch of surgery devoted to the hand, wrist and upper limb — the most mechanically intricate part of the body, where bone, tendon, nerve and vessel are packed into a few centimetres and where even a small loss of movement can change how you work and live. It spans two very different worlds. The first is acute trauma: deep lacerations, fractures with skin and soft-tissue loss, cut tendons and nerves, crush injuries, and amputated fingers or hands that may be suitable for replantation. The second is elective and chronic conditions: carpal tunnel syndrome, trigger finger, De Quervain's tenosynovitis, Dupuytren's contracture, ganglion cysts and congenital hand differences in children. Dr. Aniket Dave is a microsurgery-trained plastic surgeon, which means the same hands that repair a vessel under the microscope also perform the everyday day-care procedures that quietly restore comfort and grip. The governing principle is function first — a hand that closed neatly but cannot grip has failed. That is why hand therapy is treated as part of the operation rather than an afterthought, and why the clinic keeps 24/7 readiness for upper-limb trauma in Ahmedabad, where time genuinely is tissue. Whether the problem arrived in a moment or built up over years, the plan begins with what the hand needs to do again.
Who is a good candidate
Is this procedure right for you?
Hand surgery is suited to patients with either acute injuries or longstanding hand and wrist conditions.
- Cut or crushed fingers, hand or forearm needing repair
- Amputated digit or hand that may be replantable
- Fractures of the hand or wrist with soft-tissue loss
- Divided tendons or nerves from a laceration
- Carpal tunnel or cubital tunnel syndrome
- Trigger finger or De Quervain's tenosynovitis
- Dupuytren's contracture pulling fingers into the palm
- Ganglion cysts or congenital hand differences in children
Dr. Dave's approach
Time is tissue for trauma; the smallest right operation for the rest.
Upper-limb trauma is treated as an emergency. The clinic coordinates with referring hospitals across Ahmedabad and Gujarat so that replantation candidates and severe injuries reach the operating microscope quickly, and a 24/7 trauma line means a theatre can be readied before you arrive. For elective conditions, the right operation is usually the least invasive one that solves the problem — endoscopic rather than open carpal tunnel release where suitable, percutaneous trigger finger release, day-care surgery under local anaesthesia wherever it is safe. Children with congenital differences are planned around growth milestones. Across every case, hand therapy is arranged from the outset, because stiffness — not the incision — is the usual enemy of a good result.
The procedure, step by step
What happens on the day.
Hand surgery covers many operations; these are the common ones, step by step.
- 01
Assessment and imaging
Examination of movement, sensation and circulation, with X-rays and nerve conduction studies where indicated.
- 02
Anaesthesia chosen to fit
Local for day-care releases, regional block for the forearm and hand, or general for major trauma and microsurgery.
- 03
Decompression procedures
Carpal tunnel and trigger finger release — short, precise operations that free a trapped nerve or tendon.
- 04
Tendon and nerve repair
Fine repair of divided tendons (4-strand core suture) and microsurgical repair or grafting of cut nerves.
- 05
Fracture fixation and soft-tissue cover
Stabilising broken bones with wires or plates and resurfacing lost skin with grafts or local flaps.
- 06
Replantation when indicated
Microvascular reconnection of artery, vein, nerve and tendon under the operating microscope — often a long operation.
- 07
Dressing, splinting and therapy hand-off
A protective splint where needed and an early referral to your hand therapist before you leave.
Recovery timeline
A realistic recovery, day by day.
Day-care procedures
Carpal tunnel and trigger finger: light hand use almost immediately, sutures out at 10 – 14 days, full activity in 2 – 4 weeks.
Tendon repair
Protective splinting for 4 – 6 weeks with a controlled-motion therapy protocol before gradual return to grip and lift.
Nerve repair
Sensation returns slowly — roughly 1 mm a day from the repair site — with the final picture clear at 12 – 18 months.
Fracture and soft-tissue reconstruction
Splint or fixation for several weeks, with movement reintroduced in stages as bone and skin heal.
Replantation
Hospital stay of 7 – 14 days, hand therapy from around week two, and functional recovery continuing over 6 – 12 months.
Before & after
Consented patient outcomes.
Published with the patient's written consent and shown unretouched. Graphic photographs stay hidden until you choose to view them.
Cost of hand surgery in Ahmedabad
Transparent pricing, no surprises.
₹30,000—₹5,00,000
Highly variable; trauma cases are often emergency-tariff or insured.
Hand surgery cost in Ahmedabad spans a very wide range because the procedures themselves do. A day-care trigger finger or carpal tunnel release sits at the lower end, while major trauma reconstruction with microsurgery and a hospital stay sits at the upper end. Insurance routinely covers acute trauma and many functional procedures when documented properly. We give a clear, all-inclusive estimate at consultation for elective cases, and help with insurance and pre-authorisation paperwork for emergencies.
- Acute trauma versus elective procedure
- Whether microsurgery is required
- Number of fingers or structures involved
- Length of hospital stay
- Insurance and pre-authorisation status
- Hand therapy package included
Risks & considerations
Honest pre-op disclosure.
Hand surgery is generally safe, but every procedure carries risk, and these are discussed honestly before you decide.
- Stiffness — the commonest limit on recovery, reduced by early hand therapy
- Replantation viability — not every replanted part survives
- Tendon adhesions restricting smooth movement
- Slow or incomplete nerve recovery after repair
- Bleeding or infection, kept low with sterile technique and antibiotics
- Need for further surgery in complex or multi-structure injuries
Why patients choose Dr. Dave for this procedure
6 specific commitments for hand surgery.
- M.Ch Plastic Surgery with microsurgery fellowship training
- 24/7 readiness for upper-limb trauma and replantation
- Day-care options including endoscopic carpal tunnel release
- Hand therapy coordinated from the first day of recovery
- Experience with congenital hand differences in children
- Personal post-op WhatsApp access during recovery
Frequently asked
Questions patients ask about hand surgery.
Wrap the amputated part in clean, damp gauze, seal it in a plastic bag, and place that bag in ice water — never directly on ice. Apply firm pressure to the wound and get to hospital immediately. Call our trauma line on the way so a theatre can be readied before you arrive.
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Begin your consultation
A private conversation about what's possible.
Forty-five minutes with Dr. Dave. A clinical examination. 3D imaging where relevant. A written plan and transparent quote. No obligation, no upsell — just an honest discussion of your options.