Melbourne Hand Surgery 

melbhandsurgerydoxymedrjilltomlinson

Latest news: Masks are and will remain mandatory when you attend our practice in person. Please check in 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.

In accordance with the current COVID peak (black) status consultations are being conducted via videoconference, with in person consultations by exception. Hospital elective surgery has resumed at 50% capacity; cosmetic surgery is not able to be performed in hospital. All individuals undergoing elective surgery are required to obtain a negative COVID test within 72 hours of their scheduled surgery and must self-isolate from the time of their test until their hospital admission.

Our rooms will be closed for the festive season from 5pm Friday 17 December 2021 and will reopen at 9am on Wednesday 5 January 2022. Consulting and operating will resume on Monday 10 January 2022. 

Videoconsultations are conducted via telehealth at our dedicated virtual clinic to maximise patient and staff safety. For in person consultations we have 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.      If you are eligible to get vaccinated, please do so. 

Animal bites

hand feeding ducksWhether it's a cat bite, dog bite, bird bite or human bite, if you have a bite injury you should seek urgent medical attention. Even if the wound seems minor it is possible that you may develop a severe infection that requires hospitalisation, multiple surgeries and lengthy courses of antibiotics. This is especially so for patients who smoke, or have diabetes or other medical conditions that make them susceptible to hand infections. 

If the wound extends through the skin it is recommended that this be explored and thoroughly washed out by a qualified specialist, either in an emergency department or an operating theatre. Broad spectrum antibiotics are recommended, along with a tetanus booster if you are due for this. Splinting and elevation are additional therapies that will reduce the risk of infection.

Signs to watch out for

If you have received a bite injury and you have ongoing or worsening throbbing and pain from the site despite initial treatment this is a sign of infection until proven otherwise. It is imperative that you return to a hospital emergency department or surgical specialist for further assessment and treatment.

Other signs of infection include

  • redness at the site of the wound
  • redness spreading up the hand or forearm
  • pus coming from the wound
  • swelling
  • worsening pain on movement
  • fever
  • shakes and chills
  • feeling generally unwell

Signs that you may have received an injury to structures below the skin include

  • numbness or shooting 'electrical' pain with movement 
  • reduced range of movement or absent movement of a joint
  • deep pain on movement
  • spurting blood from the wound

If you have any of these symptoms please seek urgent medical treatment.

Suggested antibiotics

Antibiotic therapy is prescribed in addition to proper washout of your wound. Antibiotic therapy alone is insufficient to overcome a "dirty" wound. Your surgeon will take your allergies and the type of bite into consideration when prescribing an antibiotic; in cases of severe infection advice from an infectious diseases specialist may be sought. If you have a true allergy to penicillin you will not be prescribed an antibiotic that contains amoxycillin.

capsules 200x150Parakeets - ciprofloxacin or trimethoprim/sulphamethoxazole
Cockatoos - clindamycin
Parrots - amoxycillin/ clavulanic acid
Cats - amoxycillin/ clavulanic acid
Dogs - amoxycillin/ clavulanic acid
Humans - amoxycillin/clavulanic acid
Fish - ciprofloxacin

References

Meyer CL, Abzug JM, Domestic Bird Bites. J Hand Surg (Am) 2012 Apr 24 ePub ahead of print.

FRACS

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