Hand surgery

The GIRFT best practice pathways for hand surgery are being developed by the British Society for Surgery of the Hand (BSSH). The first hand surgery pathway to be published is for carpal tunnel syndrome. Further pathways will be released in early-2022, including for:

  • Dupuytren’s contracture
  • Upper limb amputations
  • Hand lacerations
  • Trigger digits
  • Ganglia
  • Bites

In addition, a guideline is in development outlining recommendation for operating outside of main theatres, including managing infection risks and ensuring safe staffing.

The British Association of Plastic Reconstructive and Aesthetic Surgeons and the British Orthopaedic Association have been consulted on these pathways and have endorsed them as indicated.