Hand surgery

Guidelines for operating outside of main theatres

The British Society for Surgery of the Hand (BSSH) and GIRFT Academy have developed guidelines for operating outside of main theatres.

Recent innovations in hand surgery mean that, without compromising outcomes, many patients can be treated faster and more efficiently, using smaller surgical teams, creating lower carbon footprints and generating less waste. These guidelines set out how hospitals can adopt these innovations and provide examples of hand units which have successfully established such models of care.

The guidelines are based on the available evidence, expert opinion from multistakeholder groups and consensus opinion from hand, plastic and orthopaedic surgeons.

Click here to view the guidelines >

Best practice pathways for hand surgery

In addition, the BSSH is developing GIRFT best practice pathways for hand surgery. Pathways have been published for carpal tunnel syndrome and traumatic amputations of the digits, hand and wrist. Further pathways will be released in 2022, including for:

  • Dupuytren’s contracture
  • Hand lacerations
  • Trigger digits
  • Ganglia

The BestMSKHealth Collaborative, British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) and the British Orthopaedic Association (BOA) have been consulted on these pathways and have endorsed them as indicated.