Microsurgeries for Nerves and Tendons

Microsurgery & Hand Surgery Department

Precision • Expertise • Advanced Reconstructive Techniques

The Microsurgery and Hand Surgery Department at our center is one of the most advanced and specialized units in Egypt. With a team of highly trained surgeons dedicated to tendon repairs, nerve reconstruction, limb reattachment, soft tissue tumor removal, and cosmetic hand surgery, we provide world-class care using state-of-the-art microsurgical techniques.

Our surgeons operate using high-magnification microscopes and ultra-fine instruments that allow them to repair structures only a few millimeters in diameter—restoring function, sensation, and movement with exceptional accuracy.

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Why Microsurgery?

Microsurgery is essential when dealing with:

• Fine sensory or motor nerves

• Delicate tendons

• Small arteries and veins

• Complex soft-tissue injuries

• Amputated fingers or hand segments

• Small tumors requiring cosmetic precision

This type of surgery often determines the difference between full functional recovery… or permanent disability.

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1. Tendon Repair & Reconstruction

(Flexor & Extensor Tendons)

Tendon surgery requires extreme accuracy because:

• Every millimeter of suture placement affects final movement

• Incorrect tension can lead to stiffness, failure, or weak healing

• The repair must be strong yet smooth to glide under pulleys

Our center performs:

• Complete tendon laceration repairs

• Partial tears and tendon degeneration repairs

• Reconstruction of old or neglected injuries

• Release of tendon adhesions

We use advanced techniques such as:

• Modified Kessler core sutures

• 4- or 6-strand tendon repairs

• Epitendinous augmentation sutures

These ensure a stronger repair and smoother postoperative function.

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2. Limb Replantation & Reattachment Surgery

(Microsurgical Finger & Hand Replantation)

Among the most complex surgeries, requiring:

• High-resolution operating microscope

• Microvascular instruments

• Ultra-fine sutures (9-0, 10-0)

• Skilled microsurgeons trained in vascular and nerve repair

We perform:

• Finger reattachment

• Reattachment of partially or completely amputated hand segments

• Repair of arteries and veins

• Nerve reconstruction

• Tendon repair within the injury zone

These surgeries restore a patient’s ability to grasp, hold objects, write, and perform daily tasks.

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3. Peripheral Nerve Microsurgery

Our team performs advanced nerve procedures including:

• Repair of completely severed nerves

• Reconstruction after crush injuries

• Decompression of entrapped nerves

• Nerve grafts

• Nerve transfers for functional restoration

Microsurgery is done using:

• x20–x40 magnification

• 9-0 and 10-0 sutures

• Intraoperative nerve stimulation

This ensures maximum recovery of sensation and motor function.

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4. Removal of Lipomas & Soft-Tissue Tumors

(Cosmetic Microsurgery for Hand & Arm Masses)

We remove:

• Lipomas

• Sebaceous cysts

• Fibromas

• Soft-tissue tumors

• Masses near nerves or tendons

Using:

• Minimal incisions

• Cosmetic suture techniques

• High-precision dissection to protect nerves and vessels

The result:

A clean cosmetic outcome with minimal scarring and very low recurrence.

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5. Reconstructive & Cosmetic Hand Surgery

Our surgeons provide highly specialized cosmetic and functional procedures, including:

• Removal of major scars or deformities

• Tendon adhesion release

• Reconstruction after trauma

• Treatment of contractures (e.g., Dupuytren’s)

• Post-burn hand reconstruction

• Joint release for stiffness

These surgeries require expert knowledge of hand anatomy and microsurgical detail.

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6. What Makes Our Microsurgery Team Exceptional?

Specialized Hand & Microsurgery Consultants

Our surgeons are trained in advanced microsurgical techniques and have extensive experience in:

• Tendon reconstruction

• Nerve microsurgery

• Limb replantation

• Cosmetic and reconstructive hand procedures

Advanced Surgical Technology

• Operating microscope

• Microvascular clamps

• Ultra-fine sutures (9-0 & 10-0)

• Nerve stimulators

• Bloodless-field tourniquet systems

Accurate Preoperative Diagnosis

Through:

• Musculoskeletal ultrasound

• EMG/NCS studies

• Functional movement assessment

Integrated Postoperative Rehabilitation

In partnership with our physiotherapy team, we provide:

• Early mobilization protocols

• Tendon-gliding exercises

• Sensory re-education

• Strength and coordination training

This integration significantly improves recovery outcomes.

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7. When Do You Need Microsurgery?

• Amputated finger or part of the hand

• Full tendon rupture

• Nerve laceration or severe nerve injury

• Soft-tissue masses (Lipoma, cysts, fibromas)

• Chronic scarring or adhesions

• Loss of finger motion

• Post-traumatic deformities

• Entrapment neuropathies requiring precision surgery

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Conclusion

Microsurgery at our center is not just an operation — it is a refined surgical art designed to restore:

• movement

• sensation

• appearance

• and full hand function

Our specialized surgical team, advanced equipment, and integrated rehabilitation approach make our center one of the leading destinations for hand microsurgery, tendon repair, nerve reconstruction, and cosmetic precision surgery in Egypt and the region.