Dr. Sanjay Saraf
Specialist InterestsHand surgery, adult and paediatric cases, Hand trauma including tendon injuries and microsurgical repair of nerves, artery
Other InterestsReconstructive Plastic Surgery Aesthetic Plastic Surgery
QualificationsM.B.B.S., M.S. (Gen. Surgery) M.Ch. (Plastic Surgery) Dipl.Nat.Board (Plastic Surgery), FICS (Plastic Surgery) FRCS (Glasgow), FACS, European Board Plastic Surgery (FEBOPRAS)
Hospital affiliationsNMC Specialty Hospital, Dubai.
Languages spokenEnglish, Hindi, Urdu, Arabic
Coming To Dr Saraf For Hand Surgery
Hand Surgery is surgery of the hand, the wrist and the peripheral nerves of the upper limb. It also encompasses reconstructive surgery that improves upper limb function.Many disorders and injuries of the hand are treated without surgery, using splints, taping, injections and hand physiotherapy.
Dr Saraf is a highly trained and experienced hand surgeon regularly treating a wide range of elective and emergency hand conditions. A specialist microsurgeon with extensive experience in reconstructive surgery, Dr. Saraf is dedicated to providing world-class care before, during and after your operation.
Practicing at a state-of-the-art facility, Dr. Saraf routinely uses micro surgical instruments ,microscope,fracture fixation instruments, and specialized hand surgery instruments. This enables him to provide a higher level of comprehensive patient care with successful outcomes.
At NMC, patient safety is the top most priority.We are JCIA accredited facility and strictly follow international guidelines to patient safety.
How Hand Surgery is done
Hand Surgery is usually performed as a day-case under a regional anaesthetic (injected in the armpit or above the shoulder, to numb the entire arm); the patient is awake or lightly sedated, according to preference. General anaesthesiaand/or overnight stay in hospital are unusual but are required for some operations on the hand, such as in children or when surgery is prolonged. A few operations can be performed under local anaesthesia (injected beneath the skin at the site of surgery).
Aneasthesia for hand surgery is given by our qualified anaesthetist.The Aneasthetist will review your health condition and discuss with you various options for anaesthesia depending on the type of surgery and your fitness. He or she may discuss:
- Local anaesthesia, where the anaesthetic is injected at the site of the wound.Minor hand surgery procedures can usually be performed under local anaesthetic.
- Regional anaesthesia (Axillary block/Biers Block etc), where the anaesthetic is injected some way from the wound (perhaps in the armpit), and the whole of the area beyond this is numbed. The anaesthetist may also give you some sedation, which will make you drowsy without actually bringing about unconsciousness.
- General anaesthesia you will send you off to sleep completely. The anaesthetist or surgeon may also give one of the above local anaesthetics to help with pain relief after surgery.
After your Surgery
After your surgery you will usually have a large wool and crepe bandage on your hand. Sometimes, depending on the operation, you will also need a plaster cast.
Our nurse will explain all the necessary care and medication instructions.She will hand over Hand Surgery care sheet which includes all the necessary information regarding post op care.
She will give you an attested sick leave cerificate for your employer if desired.
The nurse will give you an appointment card mentioning details of follow up visits including dressing changes.
If you do not have dissolving stitches the stitches usually need to be taken out 12 to 14 days after the surgery.
If you have given plaster/splint Dr Saraf will let you know the duration you have to keep it.
Following hand surgery if you require hand physiothearapy we will coordinate with physiotherapist to ensure you regain good hand function.
After many hand surgery procedures physiotherapy plays a very imporant role in early rehabilitation.
We have a team of well trained physiotherapist to help you in achieving good hand function at the earliest.