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Category Archives: Hand & Wrist

Non-urgent private elective surgery put on hold

Due to the worsening case numbers, NSW Health has requested all non-urgent elective surgery in the private sector be put on hold starting Monday 23rd August. This is in conjunction with public hospitals ceasing elective surgery 4 weeks ago. This means that only Category 1 patients such as fractures or other emergency operations can still continue. All other elective operations will now have to be deferred, with no end date set at this stage. The reason for this move is to free up general ... Read More

August 18, 2021 By Jai Sungaran in Hand & Wrist

Why are my hands always cold?

If your hands are always cold, it is due to reduced blood flow. For some people it may be physiological (normal), and resolves with an increase in core temperature. However sometimes chronic poor circulation can result in skin changes that are permanent. Our bodies keep our hands warm primarily by regulating the blood flow that travels from the heart, down the arm, all the way to our fingertips. More blood to the hands means pink, warmer hands; less blood flow means colder and sometimes ... Read More

June 4, 2021 By Jai Sungaran in Hand & Wrist

How much does it cost to have my hand or wrist operation?

Estimating the cost of hand and wrist surgery is a difficult question to answer without a proper clinical assessment. The item numbers used depend on the specifics of a patient's condition and presentation. It also depends on the approach. For example, an open operation may use a different item number to an arthroscopic or “key-hole” operation. However every patient should be aware that there is no hand or wrist operation that you have to pay for in Australia, if you have a Medicare ... Read More

March 6, 2021 By Jai Sungaran in Hand & Wrist

$Surgery for a wrist fracture is not always necessary$

Surgery for a wrist fracture is not always necessary

It is important to constantly evaluate our treatment options of even the most common injuries, like a wrist fracture. Surgery, while important for many injuries, is not always necessary to achieve a good outcome. This was the rationale behind Dr. Sungaran’s research work that has now been published in JAMA Surgery, the highest ranking surgical journal in the world. This collaboration of highly trained and well respected Surgeons from Australia have shown that for a wrist fracture in our older ... Read More

January 14, 2021 By Jai Sungaran in Developments, Hand & Wrist, Health and well being

Peer review-an important component of continuing education

Thanks to teleconferencing, peer review and clinical audit of our cases are still continuing during these times. This is an important part of Orthopaedic surgical practice in a major teaching hospital like Concord Hospital and is vital for learning. These audits are attended by Surgeons, trainee surgeons and resident medical officers as well as our Nursing and Allied health team members. We use these as a teaching tool and also for discussion of complex patients and to debate treatment ... Read More

July 13, 2020 By Jai Sungaran in Developments, Hand & Wrist, Research, Teaching

Elective Surgery update

Elective surgery will restart from next week (Tues 28th April). However the Government has mandated a reduced capacity by 50% until we know what happens with PPE stocks. Therefore this will mean only half the number of patients can be booked on due to a strict reduction in session times to 4.5hrs. For anyone awaiting surgery at a public hospital with Dr. Sungaran (Concord or Canterbury Hospitals), the admissions office will continue to prioritise based on clinical urgency and they will contact ... Read More

April 24, 2020 By Jai Sungaran in Developments, Hand & Wrist, Health and well being

How does COVID-19 affect elective surgery?

Coronavirus or specifically COVID-19 is having a big impact on our lives at present. For those planning for their upcoming surgery, it raises many important questions. For example, will I be at risk of contracting COVID-19 when I am in Hospital? What will happen if I get COVID-19 after my operation, and what effect will that have on my recovery? And even the idea that can my surgery be delayed until all this settles down. For now, the public and private hospitals that Dr. Sungaran works at ... Read More

March 10, 2020 By Jai Sungaran in Developments, Hand & Wrist, Health and well being

Health effects of smoke haze

The current bushfire situation has brought much debate about climate change and our future. One aspect of this is the present and future effect of the smoke and ash on our health and the health of future generations. A recent article from The Sydney Morning Herald has highlighted several facts including the worrying link between particulate debris in our airways and the development of neurological conditions like Alzheimer's and Parkinson's disease. There is also evidence that residents of ... Read More

January 9, 2020 By Jai Sungaran in Developments, Hand & Wrist, Health and well being, Research

Nerve transfer surgery

Dr Sungaran is looking forward to presenting his research on nerve transfer surgery at the upcoming Australian Orthopaedic Association conference in Canberra this year. The moderators for this session are such experienced Surgeons, it will be exciting to receive their feedback. Nerve injuries can have devastating consequences to function. If left untreated the chance of recovery can be poor and time is crucial to prevent further muscle damage and weakness. Nerve transfer surgery is at ... Read More

September 18, 2019 By Jai Sungaran in Developments, Hand & Wrist, Research

Just because you can, doesn’t mean you should…

As Surgeons we are trained to "fix" a problem. If a bone is broken we can use plates and screws to realign it and relieve pain. If someone cuts their finger, we can repair their nerves, tendons, and arteries to restore its appearance and function. If you have an arthritic joint, chances are we have a replacement that we can implant to improve your motion. But one of the hardest things to do as a Surgeon, is to tell a patient that you cannot help them with an operation. Just think about ... Read More

June 22, 2019 By Jai Sungaran in Developments, Hand & Wrist, Injections, Joint pain, Nerve injury, Research, Teaching, trauma, Work injury

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