Microfasciectomy in Dupuytren’s disease: microsurgery in the evolution toward safer and more efficient fasciectomy and hand surgery

Abstract

• In the long term, limited fasciectomy is currently the most reliable treatment for Dupuytren’s contracture. • The risk for complications is significant, certainly in recurrent disease and in the presence of abundant scar tissue. • Meticulous surgical technique is mandatory. • Microsurgery increases magnification from four times (with surgical loupes) up to 40 times. • Using the microscope in Dupuytren’s surgery, a technique named microfasciectomy is likely to increase both safety and efficiency by preventing instead of treating surgical complications. • Increased experience with microsurgery will benefit Dupuytren’s treatment and hand surgery in general