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Best Hand Surgery Clinic in Delhi

Dr. Anubhav Gupta is a National Board certified Plastic Surgeon working as a Consultant at Sir Ganga Ram Hospital, New Delhi. He has trained at the world renowned Plastic Surgery units at Amrita Institute, Cochin; Ganga Hospital, Coimbatore and Chang Gung Memorial, Taiwan. He has further strengthened his skills by training at Breast and Hand units of Chelmsford & Southend, United Kingdom.

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Why Visit A Hand Surgeon?

This is an age of super specialization. If you look around yourself, you will realise each problem has a specialist to correct it. Even in day to day life, if you were to buy a bicycle from the market, you will not go to your routine neighborhood market looking for it. Instead if you ask around, you will be told that there is a designated area or market where bicycles are available in all possible designs and quality. Same has happened with the medical field. Doctors are also becoming highly specialized catering to a particular problem. Hand is a very specialized and complex organ of our body and requires very specific treatment for its problems. Hand surgeons are usually plastic surgeons or orthopedic surgeons who, have over the years gained more and more experience in this field. We at 'hand surgery delhi' provide such specific care for all hand related problems. Our goal is to give the best possible hand care at a reasonable cost to all, with emphasis on early return to work.

About Us

Dr. Anubhav Gupta

Dr. Anubhav Gupta is a National Board certified Plastic Surgeon working as a Consultant at Sir Ganga Ram Hospital, New Delhi. He has trained at the world renowned Plastic Surgery units at Amrita Institute, Cochin and Ganga Hospital, Coimbatore. He has further strengthened his skills by training at the Hand Surgery units of Chelmsford & Southend, United Kingdom. Having acquired the Masters in General Surgery from Civil Hospital, Ahmadabad with a Gold Medal, he pursued super specialist training in Plastic Surgery at Sheth V.S General Hopital, Ahmadabad where again he was awarded the best outgoing student award. He further went on to complete his Diplomate National Board in Plastic surgery to join the select league of Plastic Surgeons in the country with both D.N.B and M.Ch qualifications. He has attended numerous international meetings and workshops on aesthetic and reconstructive surgery and has always endeavoured to keep updated with the latest technologies and advances in his field. His work has been published by many international peer reviewed journals. He has been awarded the membership of various organisations of repute, including the Association of Plastic Surgeons of India(APSI), Association of Surgeons of India( ASI), Breast Reconstructive & Aesthetic Surgeons association (BRASA), Indian Society for Hand Surgery (ISSH), Brachial plexus Surgeons group of India, Association for Trsnsgender health in India (ATHI)

Why Choose Us?

Immediate Emergency Treatment
Latest Surgical Technology
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Personalized Private Surgery
Detailed Discussion
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Sir Ganga Ram Hospital

Room No: F-36, Private OPD, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi - 110060

Phone: +91-9910469475, +91-11-4225-4000 Consultation Timings : 2 PM to 4 PM (Monday to Saturday)

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DermaWorld Skin Institute

Q 4, Rajouri Garden, Near Janta Market, New Delhi -110027

Phone: + 91-9910469475 Consultation Timings : 6 PM to 8 PM (Monday & Thursday)

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What Our Patients Say

  • I happened to visit Dr Anubhav at Gangaram hospital regarding a friends surgery....He is a compassionate surgeon and helped my friend to recover fast....thanks Dr Anubhav
    Sharad Jain
    Google Review
  • Dr. Anubhav has been nothing short of amazing. From the beginning, he made me feel comfortable and confident in my decision to undergo plastic surgery. He and his team work hard to ensure that any questions and concerns are addressed and answered.
    Lalit Singla
    Local Guide, Google Review
  • Dr Anubhav is a excellent surgeon with human touch.his knowledge and skills are exceptional .. he operated on my cousin with very satisfactory results .thanks Dr Anubhav
    Harvinder Kaur
    Google Review
  • Apart from being one of the best plastic surgeons in the country, Dr. Anubhav Gupta is a highly compassionate and humble person. His dedication and perfection towards his work along with the down to earth attitude makes him the best!
    kavita sharma
    Google Review
  • I was comfortable, confident and at ease with the decision to have the surgery and these feelings remained constant throughout the entire surgical process.I felt safe in the hand of Dr. Anubhav Gupta.
    Abbas Pitha
    Google Review
  • Had a procedure done with Dr. Anubhav last year and he was always there when I had concerns or needed to ask questions. Highly recommended.
    Meera Rai
    Google Review

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Treatments Available at Hand Surgery Delhi

Simple Hand Injuries

Due to accidents, the injuries to the fingertips are common at home or workplace which can be occur when a fingertip slams in a car door, while chopping the fruits, or even when clearing the mixer- grinder. These injuries can be crushing or tearing of fingers and thumbs. Injury can include damage to skin and soft tissue, bone, or to the nail and nail-bed. The tips of longer fingers tend to be injured more often. Fingertips are rich with nerves and are extremely sensitive and without proper care, a fingertip injury can damage the complex function of the hand, possibly resulting in permanent disability. It should be examined by a doctor only. Most fingertip injuries recover well and allow the individual to return to their normal routine life. Although the healed tip can be sensitive to the cold weather etc.

In Nail bed lacerations we have to remove the nail and primary suturing of the injured nail bed. If the nail bed laceration is allowed to heal by itself, the resulting scar is likely to cause the healing nail to split or become non adherent, producing a painful or cosmetically unacceptable nail.

An abrasion is an open wound caused when the topmost layers (no deeper than the epidermis) of skin are rubbed or scraped off. Abrasions are very common and rarely serious. Applying direct pressure to the wound may be necessary to control bleeding. Any dirt or debris that is embedded in the wound should be removed. Dressing and bandaging may be sufficient, but the wound should be monitored for signs of infection. Outcome is good for most individuals. Proper care should be taken to guard against infection.

Any wound on the hand has to be examined properly by a doctor to rule out injury to deeper structures like tendon, artery, nerve etc. Any such injury requires proper treatment.

Heat, chemical or electrical injury to the skin, nerves, blood vessels and internal organs can cause burns. Burns on the hands are particularly dangerous and require immediate attention. Superficial burns involve the outer layers of skin and can cause redness of skin, pain and even blisters. The wounds heal within two weeks.

Complicated Hand Injuries

Our nerves are very important to maintain the movement of the hand. There are three important nerves of the hand - Radial, Ulnar & Median. Any injury to these nerves can lead to impairment of function and even cause paralysis. Hence, the nerve should be repaired meticulously by trained experts.

Tendons are cord like structures that connect the muscles to the bones and are responsible for the movement of the hand. There are around 25 tendons in the hand which are responsible for the hand movements. Any injury to tendon can lead to loss of movement of fingers or wrist.

Skin acts like an envelope to the underlying structure of the hand. Deep burns lead to loss of a part or whole of that envelope and can lead to exposure of the underlying structure leading to deformity or contracture of the hand. Deep burns of hand should be treated by early excision & grafting.

A hand is a complex network of structure like tendons, nerves, arteries, bones which are liable to injury in deep wounds. So, all deep wounds require proper treatment and repair of injured structures.

Bone form the basic frame work of body including hand which provides stability for all functions. There are 27 bones in one hand and any injury to these bones has to be treated by an expert professional to prevent stiffness and deformity.

Chemical burns are also deep burns. They can be due to acids or alkali. They have to be treated immediately and properly by experts.

Complex Hand Injuries

Severe crush avulsion injuries may injure several functional units of the hand. The injury pattern may include the thumb, fingers, the metacarpals, carpal or the forearm. These kind of injuries are results of an industrial, road accident or machine injury. Early & prompt treatment in the form of surgical intervention can restore the function of hand.

Complex compound injuries are high velocity / major impact injuries involving all the three vital components of hand i.e. the skin & soft tissue, neuro vascular and bone structure. The extent of damage is much greater than initially anticipated and these patient require admission, repeated examination and multiple operations to make the hand useful.

Any trauma to the hand including the upper extremity can lead to total or near-total amputation of a part. Amputation can take place at various levels like arm, forearm, wrist palm, fingers & thumb. An amputated part can be replanted if found suitable. The part should be preserved properly. A long operations of 5-8hrs duration is required.

Vascular trauma of the hand has become very common. It causes a high degree of morbidity with severe consequences on function & can threaten the hand survival. Successful management with good outcome depends on early diagnosis & prompt intervention.

High tension burn injuries comprises 1% of admission to burn unit with a high incidence of mortality or amputation of an extremity due to involvement of vessels, nerves & even the bones which become nonviable due to high tension electric current. The treatment rationale is that the delayed high complication rate associated with the injury justifies a cautious reconstructive approach with vigilant & serial examination & debridements taking place prior to definite reconstruction of the remaining viable hand.

Reconstruction

In cases of Severe nail deformity, the nail bed can be harvested from the toes and implanted in the finger.

Deviated fingers & bony deformities due to burn contracture, web space contracture are common correctable conditions.

Most commonly seen are due to burn, infective and traumatic causes. Elbow & axillary contracture seen in post burn cases can be surgically corrected.

In old neglected tendon injuries, tendon graft and staged tendon reconstruction can be done. In old neglected nerve injuries if the duration is less than 3-6 months then nerve exploration & repair / graft can be done. If the duration is more than 6months tendon transfers are done.

Commonly done flaps in fingers are cross finger flap, kutler, Atasoy flaps, foucher��??s, littler��??s flap. Commonly used flaps in hand are groin flap, PIA flap, Abdominal flap.

Small joint replacement, Bony deformities of the hand and Capsulotomy for stiff joints of hand & fingers are common examples.

Congenital Deformities

Syndactyly is a condition in which 2 or more than 2 fingers are joined. It may be simple where only skin is joined or complex complicated where deeper structures are joined.

Polydactyly is a condition of having more than 5 digits in the hand. The extra digit may be on the ulnar side or the thumb side.

Constriction ring is a condition in which there are band like skin folds in the extra digits which can compromise distal circulation. It can be corrected by the procedure of Z-plasty.

Absent thumb is a rare condition in which the whole or part of the thumb is absent from the hand. The thumb can be reconstructed by complex procedures like Toe transfer or pollicization depending upon the degree of loss.

Club hand, Cleft hand or Absent hand are complex deformities requiring complex procedures

Tumors & Swellings of the Hand

Lipoma is a commonly found subcutaneous swelling derived form fat.

Fibroma & Nerve Tendon Sheath tumor are swellings arising from tendon sheath or nerve sheath are less common than lipoma

Ganglion are cystic swellings found in close relation to tendon & joints in hand and wrist.

BONY TUMOR

This is benign tumor of the base of the nail bed. This tumor is a very painful tumor. This tumor is arising from Glomus body and very tender to touch. The management is excision of the tumor.

This is benign swelling of the soft tissue of the hand. This is either localized or diffuse. The management is excision of the lesion.

Brachial Plexus Injury

It is paralytic deformity of upper limb following trauma to the plexus of nerve of upper limb. The plexus of nerves is present at the neck area at the junction of neck & shoulder. The commonent cause is RTA or fall from height. Patient may present with complete or partial paralysis of upper limb. The management is examination & if required, early exploration followed by nerve transfer. If patient presents late then muscle transfer & joint arthrodsis is required.

Other Acquired Conditions

It is a painful condition in which patient has pain over the distribution of median nerve in hand and wrist. The management is release of carpal tunnel at wrist level.

It is fixed flexion deformity of the fingers & MP joint when fibrosis occur in palmar aponeurosis, the cause is chronic alcohol intake, diabetes, chronic smoking etc. The management is removal of contracted band to straighten the finger or excision of fibrosed part + skin cover if required.

It is a deformity of the upper limb involving forearm & hand following injury to the brachial artery or it's branches due to trauma commonly seen in supra condylar fracture. There is decrease blood supply to the forearm muscles resulting in ischemic fibrosis of the muscles causing this deformity. The management is prevention by early intervention when there is brachial artery injury. In chronic cases treatment depends on the severity of the deformity.

It is a post traumatic deformity of the finger when the extension slip of the distal phalynx is distrupted from bone. This results in flexion deformity of the DIP joint. The management depends on severity but splintage in extension is required in all cases.

Carpal Bones

There are the small bone of the wrist joint. These are eight in number. The fracture of which is not very uncommon. The common fracture is scaphoid fracture. These are missed sometimes and may result in chronic painful movement. The management is early intervention and splintage.

Orthopedic Conditions

It is the deformity of the finger in which there is flexion of DIP joint & hypertension of the PIP joint. The common cause is extensor slip injury to distal phalynx due to laxity of the capsule of the PIP joint. Eg: Rheumatic disease. The management is prevention by giving splint and if presented late requires surgical correction.

This is the deformity of the fingers in which there is flexon of PIP joint & hyperextension at DIP joint. The cause is injury to the extensor slip at the base of middle phalynx when it is being inserted to middle phalynx. The management is repair of the slip or dorsal transposition of the conjoined lateral band.

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