Suture Ligation, a New Technique to Repair Excess Finger (Polidaktili) in Newborns

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Polidaktili is a physical disorder characterized by the presence of additional fingers or toes, so that it appears more than five. Polidaktili comes from the Greek "polys", which means "lots", and "daktylos, which means" finger. "

Polydactyl treatment can only be done surgically, and the technique also varies. One of them is the stitch ligation technique. The following is complete information about this medical procedure.

What are the causes of polyacetyl?

During the development of the embryo in the womb, the hand which is originally shaped like a duck's paddle will split into five fingers separated from one another. Polidaktili can occur if there is an error in this process, so that an additional finger is formed from one of the fingers or toes which are split into two.

Many cases of polydactyli occur without obvious reasons, while some other cases occur because of genetic (chromosome) abnormalities. Polidaktili can also occur due to congenital birth defects, for example due to the habit of smoking or drinking alcohol during pregnancy, exposure to dangerous chemicals, to being infected with viruses during pregnancy, such as TORCH, Toxoplasma, rubella, cytomegalovirus, syphilis, and herpes.

Polydactyl is the most common birth defect, and is experienced in about 1 in every 1,000 births.

What is the suture ligation procedure to remove excess baby fingers?

Suture ligation is the procedure of binding an excess finger with a thread to break the blood flow. This aims to turn off the extra network so that it finally detaches.

This procedure is performed depending on the size and type of the duplicated finger. Additional fingers are usually located on the side of the thumb (radial), pinkie, or in the middle (central). The advantages of this finger are that there is a perfect shape similar to ordinary fingers, but there are also developing abnormalities; smaller and "alive" with other fingers.

Are there any complications or side effects from the suture ligation procedure?

Yes. Just like other medical procedures, suture ligation has its own complications. The most common is the formation of scar tissue that disrupts the physical appearance of the baby, as well as inflammation characterized by pain and swelling due to necrotis (cell death and tissue).

Some other possible complications include ischemia (lack of blood supply), blood clots, erythema (inflammation) and cellulitis (infection of the skin).

According to the US National Institutes of Health, one of the authors of the study said, "Although suture ligation has proven to be simple, safe and effective, limited medical evidence shows that this procedure is more at risk of causing amputation than usual surgical procedures."

In addition, suture ligation is more likely to cause neuroma syndrome which is more painful than surgical excision. Neuroma refers to the growth of nerve tissue that causes discomfort, be it pain, burning sensation, or numbness. This certainly will affect the quality of life of the baby and require additional procedures that are more complicated to cure it.

Suture Ligation, a New Technique to Repair Excess Finger (Polidaktili) in Newborns
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