Syndactyly is the abnormal connection of fingers. Most commonly, it is lacing between the fingers. Hand looks different with syndactyly. This may lead to stress and decreased self reverence. The only way to correct syndactyly is through surgery. As the circumference of the conjoined fingers is smaller than the circumference of the two separated fingers, there is not enough skin to cover both digits once they are separated at the time of surgery. Therefore, the surgeon must bring new skin into the area at the time of surgery and it requires planning over a period of months prior to surgery. We provide a comprehensive hand care service, which includes surgery followed by intensive physiotherapy by a dedicated hand therapy team. Dr Gunessee has wide experience in paediatric hand injuries as well as congenital problems, including syndactyly, trigger digits and duplication. The hand surgery practice is confined to conditions below the wrist. These include fractures, lacerations, injuries to tendons, nerves, blood vessels, nail bed injuries, as well as elective conditions such as carpal tunnel release, Dupuytren’s contracture, ganglion removal and trigger finger release.

The hand is considered one of the most complex structures in the human body due to its intricate anatomy. Your hands are a complex system of various bones, joints, ligaments, tendons, muscles, nerves and blood vessels. Without the healthy functioning of the hand we are unable to perform activities of daily living. The hand is one part of the body that is very susceptible to injury or disease.

Some of these conditions include:
- Traumatic injuries: These may include fractures, tendon injuries, digit amputation or lacerations with nerve or blood vessel damage.
- Arthritis related deformities: In severe cases of osteoarthritis and rheumatoid arthritis, the joints and fingers have a deformed appearance.
- Congenital deformities: These deformities are present at birth and may include congenital constriction band syndrome, overgrowth of digits, undergrowth of digits, duplication of digits, and failure of part of the hand to separate (syndactyly) and underdeveloped fingers or thumbs.
- Infections: Hand infections are commonly seen in people with diabetes as they have poor blood circulation in the extremities.
- Overuse injuries: These include carpal tunnel syndrome, trigger finger and DeQuervain’s Synovitis.

The intricate anatomy of the hand requires very delicate surgery, often with microscopic techniques. Microscopic hand surgery is a surgery performed on minute structures like nerves and blood vessels in the hands and fingers with specially designed instruments under a microscope. During the surgery, the damaged areas are repaired and reshaped. Microscopic hand surgery is also used to reattach severed fingers or hand. Moreover, flaps and grafts of bone, skin, muscle or other tissue from a healthy donor or the patient’s own body are often used for reconstruction of the affected structures. If required, small blood vessels are also repaired by using small needles with very fine sutures. The microscopic surgery improves the aesthetic appearance of the hand and also can restore the functionality of the hand. Rehabilitation therapy may be required in some cases.