It has long been established that outpatient (office based) procedures are a safe and efficient means of treating some simple hand conditions, such as carpal tunnel syndrome, trigger finger and De Quirvain's tenosynovitis. This is very commonly performed in the USA and Canada but has been less common here in the UK.
Mr Read is now able to offer outpatient procedures at One Hatfield hospital on a self pay fixed price basis. This convenient and quick process reduces the time spent in hospital and has been shown in a recent audit to be preferred by most patients when compared to a formal theater setting.
The process for outpatient surgery involves an initial clinical assessment to ensure that surgery is the correct option and to discuss all the alternatives and the pros and cons of surgery. If surgery is advised then a date and time will be planned at your convenience.
On the day of surgery you will come up to the clinic and once again the risks and benefits of surgery will be explained, at this point you can ask any questions that you have. You will then transfer through to the treatment room, there is no need to change into hospital gowns but please wear short or loose fitting sleeves. Please also remove any rings from the hand to be operated on. You will be checked in by the nurse and Mr Read will administer the local anaesthetic. The treatment room is a relaxed atmosphere and you can watch the procedure if you wish (though you DO NOT HAVE TO). In general the whole procedure takes round 30 minutes after which you will have dressings on. There will be a big bulky dressing with a small sticky dressing underneath. The big bulky dressing can be taken off after 5 days and the sticky dress after another 5 days, the stitches are dissolvable and will start to drop out once the dressings are removed. You should keep the wounds clean and dry for the first 10 days. Mr Read will normally see you for review after 2 weeks though sometimes at 6 weeks.