The team at the Hand Surgery Centre (orthopaedic surgeons, general surgeons and plastic surgeons) endeavours to treat all upper limb conditions through a multidisciplinary approach, in close collaboration with radiologists, rheumatologists, neurologists, therapists and paramedical staff (specialised physiotherapists and occupational therapists).
This team offers patients a whole range of treatments to allow the best chances of an early recovery, thanks in particular to conservative treatments, conventional or endoscopic surgical or microsurgical approaches, as well as reconstruction treatments for the hand, upper limb and peripheral nerve conditions.
The team provides a 24-hour service with personalised care for adult or paediatric patients.
The Hand Surgery Centre at the Clinique du Parc Léopold has excellent national and international visibility.
Founded on 19 May 1979, it rapidly flourished and became “Centre SOS Main” on 1 January 1980. The centre has been part of FESUM (Fédération Européenne des Services d’Urgence de la Main) since 1986.
The centre has been a member of FESSH (Federation of European Societies for Surgery of the Hand) since 2011.
It is one of the three Belgian centres currently recognised by FESSH, and the only one in the Brussels region, which means it attracts patients from far and wide.
PREOPERATIVE APPOINTMENT WITH THE ANAESTHETIST
This appointment isn’t systematic because the operation is performed under local or locoregional anaesthetic.
BEFORE THE OPERATION
Read and fill in the questionnaire, which will be handed over to the anaesthetist on the day of the operation.
The day before and the day of the operation
Wash the hand, wrist and arm.
Remove all nail varnish.
Cut and brush your nails.
Take off your watch, bracelets, rings and wedding ring.
If you are unable to take off your ring, your jeweller may be able to help you. If not, you can have the ring cut off in A&E.
DON’T EAT ANYTHING before the operation, even for local anaesthetic.
Don’t eat or smoke six hours before the operation.
You can drink A BIT of water up to three hours before the operation.
Make sure you are wearing something with wide sleeves.
– ID card
– EHIC card (European Health Insurance Card)
– hospital insurance card or document
– the duly completed health questionnaire and your list of personal medication
– any CD-ROMs, x-rays, scans, test results that you have in your possession that may be relevant to your operation.
BACK AT HOME
The anaesthetist or surgeon will usually allow you to return home half an hour to two hours after the anaesthetic except in the case of general anaesthetic.
Please arrange for a friend or a family member to take you home.
You are forbidden from driving a vehicle or using public transport after an operation.
Once back at home, please ensure that someone is with you for the first night after the operation.
Check that you have the following relevant documents before leaving the clinic:
– certificate of incapacity for work
– insurance documents
– an appointment for a postoperative check-up
no alcoholic drinks on the day of the operation.
Position of the operated arm:
Using a scarf, keep the upper limb higher than your heart for the first few days. Avoid slings because they position the limb beneath the heart.
During the first few nights, raise the upper limb by placing it on a pillow.
If the fingers or joints are free, make sure you move them (UNLESS you have stitches and your surgeon has told you not to).
Your surgeon or anaesthetist will prescribe painkillers. Adhere to their instructions and make sure you reduce the dose and stop taking them as soon as possible.
You may also be prescribed an anti-inflammatory unless you have gastric problems.
Occasionally, in the case of traumatic wounds for instance, antibiotics may be prescribed.
The dressing must stay clean and dry. Don’t change it.
If you take a shower, cover it with a plastic bag and seal it with adhesive tape or plastic film to make sure it doesn’t get wet.
Splint or plaster:
Don’t lean on a splint or a plaster cast.
It is forbidden to drive a vehicle with a plaster cast or a splint.
CONTACT YOUR SURGEON OR THE DEPARTMENT
(either via the appointments desk: +32 2 486 47 76) :
– If the dressing is wet or dirty (risk of infection of the operative wound).
– In case of abnormal pain which continues despite taking regular painkillers.
– In case of severe swelling accompanied by increasing pain, a dressing that is too tight.
– In case of bleeding.
– In case of signs of secondary infection: pain, heat, redness, fever.
THE FIRST POSTOPERATIVE APPOINTMENT is usually one to seven days after the operation.
The patient can contact the hand surgery unit at any time through the appointments desk at
+32 2 486 47 76.
APPOINTMENTS (non-fixed fees, private health providers) :
Appointment only, from Monday to Friday from 08:00 to 18:00 at Centre Médical du Parc
+32 2 486 47 76
Bring the following documents:
– ID Card
– SIS card or EHIC card (European Health Insurance Card)
– Health insurance stickers
– Any existing test results (X-ray, scans, EMG, blood tests, etc.)
– The number of your GP
Preferably Bancontact or cash.