There are two variations of this treatment: partial and total. If you have a partial palmar fasciectomy, your doctor removes only the abnormal tissue in your affected hand. In a total palmar fasciectomy, your doctor removes all the fascia, even if it’s not causing any problems. Once the surgery’s over, they may close the incision completely. They also may leave a small part open so it can drain.
Before you have the operation, your doctor evaluates your condition to determine how many fingers need treatment. They also decide whether to put you to sleep during the surgery or do it with a local anesthetic that lets you stay awake. This is an outpatient surgery that lasts one or more hours. Most patients go home the same day.
Your doctor wraps your hand with gauze or small bandages after the surgery. You may need to keep your hand elevated and apply ice for the first few days. Physical therapy usually isn’t necessary. Most patients can get back to normal activities within one week.