Melbourne Hand Surgery 

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Latest news: Masks are mandatory when you attend our practice in person, and we request that you log your attendance via our Victorian Government QR code, by entering location code 3D7RE3 into the Services Victoria App or by writing your details on the physical register at our reception.

Elective surgeries are currently unrestricted and you do not need to have a COVID test prior to hospital admission for elective surgery if you have no COVID symptoms or other risk factors. Dr Tomlinson is operating at The Avenue and Glenferrie Private; Epworth Cliveden is indefinitely closed at this time. 

All suitable consultations at Melbourne Hand Surgery are currently conducted via telehealth at our dedicated virtual clinic to maximise patient and staff safety. We have implemented enhanced hygiene measures in our rooms including acrylic screens, masks, hand sanitiser, face shields and physical distancing-related changes. We require that all patients provide a referral prior to booking an appointment so that we can identify and manage urgent and emergency conditions in a timely manner, and so that our surgeons can assess your suitability for a telehealth appointment and identify any further information or tests that might be required before your consultation.

Gout is predominantly treated with medications, rather than with surgery. Nonetheless there are instances where surgery is helpful for individuals who have gout. 

Acute gout

Acute gout can present in a similar way to an infected joint or an infection of the soft tissues. In this instance surgery may be performed to "wash out" the area, obtaining tissue and fluid samples that are sent for testing to exclude the possibility of infection and confirm the diagnosis of gout. The wash out can also speed the resolution of the gout attack, by washing out the uric acid crystals.

Surgery is only performed in acute gout when it is not possible to confirm whether there is concomitant infection. In such circumstances surgery is performed because it is safer to proceed on the assumption that infection is present when it is not, than to assume that it is "just gout" when there may be an infection destroying the joint.

Chronic gout

Chronic gout can have multiple effects. Most individuals are aware that they have suffered recurrent acute attacks of gout, but it is possible to have chronic low grade gout that creates significant problems without acute attacks of pain, redness and inflammation. 

Chronic gout can lead to the deposition of uric acid crystals in tendons, resulting in

These conditions can be treated with carpal tunnel release and trigger finger surgery

Chronic gout can also lead to the deposition of uric acid crystals in tophi that distort the fingers and in ways that destroy joints. Surgery can be beneficial in such circumstances, although it is not a cure for gout and must be combined with medical treatment under the care of a specialist physician.

 

FRACS

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