Melbourne Hand Surgery 

COVID news: Elective surgery restrictions have been lifted and we will resume all elective surgeries from 28 September. Please note that all patients who are scheduled for elective surgery admission are required to undertake a COVID test, to obtain a negative ("not infected") result prior to admission, and to self-isolate from the time of test to admission. As Epworth Cliveden remains indefinitely closed at this time Dr Tomlinson does not have any regular surgical lists at Epworth, but her lists continue at The Avenue and Glenferrie Private. 

All suitable consultations at Melbourne Hand Surgery are currently conducted via telehealth (phone or video consultation) to maximise patient and staff safety. We have implemented enhanced hygiene meaures in our rooms including acrylic screens, masks, hand sanitiser, face shields and physical distancing-related changes. We are closed on Fridays.

Victorians are in this together and together we will get through this. Thank you for your understanding as our community works through these unprecedented times together (last updated: 22 September 2020).

Cellulitis

What is cellulitis?

Cellulitis is a bacterial infection of the skin and the underlying connective tissue. It is most commonly due to bacteria that are commonly found on the skin, like Staphylococcus and Streptococcus. It can be the result of cracked skin, cuts, bites, blisters, burns, surgery, injections or any other break in the skin.

What are the symptoms?

Cellulitis is associated with skin redness, throbbing pain, skin sensitivity, swelling and increased warmth of the affected skin. The redness increases in area as the cellulitis worsens, and often travels up the forearm and arm. There may be discomfort in the lymph nodes in the armpit and you may have fevers and shakes, and feel generally unwell.

Risk factors

Cellulitis is more likely to occur and be troublesome in individuals who have diabetes, lymphoedema or immune compromise.

Treatment

Treating cellulitis of the hand and forearm involves a combination of

  • elevation
  • antibiotics
  • splinting
  • pain relief
  • rest
  • +/- surgical cleaning of the entry wound or any blistered skin or devitalised tissue
  • identifying the bacterial source of the infection through swabs, blood cultures and/or tissue culture

If cellulitis is not responding promptly to treatment it is advisable to see a surgeon. Cellulitis can progress to become serious and it can also mimic a variety of other infective conditions that require surgery, such as abscess formation, necrotising fasciitis, septic arthritis or flexor tenosynovitis.

FRACS

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