Hand emergencies

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The SOS MAINS of the Centre Médico-Chirurgical Floréal aims to offer a specialised service for all urgent and non-urgent pathologies relating to hand and upper limb surgery.

SOS MAIN FESUM label

The Floréal clinic is recognised as a centre of excellence for orthopaedic and traumatological surgery of the hand and upper limb (shoulder, elbow, wrist, hand).

The Hand and Upper Limb Department has been awarded the SOS MAIN label by the FESUM (European Federation of Emergency Hand Services). This certification is based on strict qualitative and quantitative criteria.

SOS MAINS 24/7 01 48 97 72 08

A specialist hand and upper limb surgery service:

Hand surgery is a speciality in its own right, involving multidisciplinary skills: orthopaedic surgery, vascular microsurgery, nerve surgery, reconstructive surgery and arthroscopic surgery. These wide-ranging skills provide patients with unique and optimal care, whatever the severity of the trauma...

SOS HANDS

Anyone with a hand injury caused by firm trauma or a wound, however serious, will be seen 24/7 at the CMC Floréal. The patient will be cared for by a specialised medical and surgical team.

Benign" trauma:

This is often a domestic trauma that does not cause much concern. However, when it comes to hand surgery emergencies, there is no such thing as a minor trauma. The hand and fingers are complex areas, and every anatomical element that is damaged needs to be surgically repaired, whether it's bone, tendons, arteries or nerves.

ALL HAND WOUNDS REQUIRE SURGICAL EXPLORATION IN THE OPERATING THEATRE BY A SPECIALIST WITH THE EXPERIENCE AND TRAINING REQUIRED FOR OPTIMAL MANAGEMENT.

Major" trauma:

This involves complex damage to the hand, such as amputation of fingers or crushing of part or all of the limb in a serious accident in a workshop, on a building site or in a road accident.... These major hand injuries are treated medically at the scene of the accident, transported by the fire brigade or ambulance, followed by high-level surgical and microsurgical repair.

The CMC Floréal has a medical team on call 24 hours a day, 7 days a week. This team includes specialist emergency physicians, hand surgeons and anaesthetists. Any trauma to the hand or upper limb can be treated at any time, 24 hours a day, 7 days a week.

Good reflexes when faced with a hand injury:

• 1) Immediately call the Mains Paris Nord emergency service on 01 48 97 72 08.
• 2 In the event of complete severance :
  • Gather up the severed limbs.
  • Place them in a watertight plastic bag wrapped in fabric.
  • Place this same plastic bag in another plastic bag containing ice cubes.
• 3 Some advice:
  • No tourniquet
    • Keep your hand elevated
    • Apply a pressure dressing
  • No alcohol, coffee or tobacco: remain sober
  • Note the time of the last meal

Scheduled surgery

For all hand and upper limb pathology, the Centre Médico-Chirurgical Floréal has :

• Surgeons specialising in hand and upper limb surgery.
• The latest surgical technologies: endoscopy, microsurgery, etc.
• A team of anaesthetists experienced in local anaesthesia and post-operative analgesia techniques.
• A recovery room equipped to accreditation standards.
• An outpatient surgery service.
• Psychosocial follow-up.
• Specialist physiotherapists and nurses.

All these elements ensure that patients undergoing hand and upper limb surgery receive the best possible care, in terms of efficiency and comfort.

A wide variety of conditions are treated, including all those affecting the hand, wrist and elbow.

A specialised team at your disposal:

Dr Eric ABEHSERA

• Former intern at Lille Hospitals
• Former Senior Registrar - Assistant at Paris Hospitals
• Title of Hand Surgeon
• Member of the French Society of Hand Surgery

Diplomas and training

• University Diploma in Medical Pedagogy in Anatomy
• University Diploma in Microsurgery
• Inter-University Diploma in Surgical Pathology of the Hand
• Inter-University Diploma in Arthroscopy
• Inter-University Diploma in Medical-Legal Expertise

Dr Meryl DAHAN

• Senior Registrar - Hôpital Cochin - Paris - Orthopaedic Surgery
• Practitioner - Hôpital Cochin - Paris - Orthopaedic Surgery

Diplomas and training

• Diplôme d'Etat de Docteur en Médecine - Université Paris 5 - Paris-Descartes
• D.U. Microsurgery - University of Paris 7 - Diderot
• D.U. Functional and surgical anatomy of the musculoskeletal system - Université Paris 5 - Paris-Descartes
• D.I.U. Expertise médico-légale - Université Paris Diderot Paris 7
• D.I.U. Hand and Upper Limb Surgery - Université Paris 7 - Diderot

Dr Dan ISRAEL

• Head of the SOS Main Label - FESUM at the Floréal Clinic
• Associate member of the French Society of Hand Surgery
• Title of Hand Surgeon
• Former Resident at Toulouse Hospitals
• Former Senior Registrar at Toulouse Hospitals
• Surgery of the hand and wrist-Reconstruction of the musculoskeletal system
• Microsurgery-Peripheral nerve surgery

Diplomas and training

• D.I.U. in surgical pathology of the hand (TOULOUSE, UPS)
• D.U. in microsurgery (TOULOUSE, UPS)
• D.U. in flap surgery (TOULOUSE, UPS)
• Lecturer at the D.I.U. in hand surgery (TOULOUSE, UPS)

Dr William MAMANE

• Attached practitioner - HEGP - Paris 15th - Orthopaedics
• Assistant Registrar - HEGP - Paris 15e - Orthopaedics

Diplomas and training

• DU in Microsurgery - University of Paris 7 - Diderot
• DU Clinical Anatomy - University of Paris 5
• DIU Upper Limb Surgery - University of Paris 5
• DIU Arthroscopy - University of Paris 7 - Diderot
• Lecturer at the Paris Descartes FacultyLecturer at the DIU in Hand Surgery

Dr Judie RIMOKH

• Assistant Registrar - Ambroise Paré Hospital - Paris - Orthopaedic Surgery
• Attached practitioner - Ambroise Paré Hospital - Paris - Orthopaedic Surgery

Diplomas and training

• First cycle of medical studies at the University of Paris VII-Denis Diderot (UFR médicales X. Bichat, Lariboisière-St Louis),
• Continued training as an intern in the orthopaedic surgery department of Amiens-Picardie University Hospital and in the orthopaedic surgery department of Ambroise Paré Hospital, Paris.
• University diplomas in microsurgical techniques from the University of Paris 6 and in hand and upper limb surgery from the University of Paris Sorbonne.
• CCA in the orthopaedic surgery department at Ambroise Paré Hospital (APHP) from 2018 to 2021.

A team of physiotherapists, members of the GEMMSOR and the SFRM, specialising in hand and upper limb rehabilitation, provides optimal care for the various pathologies within the clinic, in consultation with the hand surgeons.

An occupational therapist/orthotist, also a member of GEMMSOR, who specialises in making immobilisers and splints for the hand and upper limb, has also joined the hand surgery team.