Discover Dupuytren's Contracture Surgery in Turkey.

Dupuytren’s contracture is a condition where one or more fingers bend towards the palm due to thickening of the tissue under the skin. It can cause significant discomfort and limit hand functionality.

For those seeking relief, surgical intervention is often recommended. Turkey has become a popular destination for medical tourism, offering high-quality care at competitive prices.

This article delves into the cost of Dupuytren’s contracture surgery in Turkey, breaking down all aspects of pricing and what patients need to consider before undergoing the procedure.

Understanding Dupuytren’s Contracture Surgery

Dupuytren’s contracture surgery aims to release the affected fingers by removing or releasing the thickened tissue.

The procedure can be performed using various techniques, including:

Open Fasciectomy: Traditional surgery involving the removal of the thickened tissue.
Percutaneous Needle Fasciotomy (PNF): A minimally invasive technique using a needle to break up the thickened tissue.
Collagenase Injection: An enzyme is injected to break down the thickened tissue, followed by manipulation of the fingers.

Each method has its own cost implications, which are influenced by factors such as the surgeon’s expertise, hospital facilities, and the complexity of the case.

Factors Influencing Costs

Hospital or Clinic Reputation:

High-end hospitals or renowned clinics may charge more due to their reputation and advanced facilities.

While these institutions often provide superior care, they are generally more expensive. The costs can vary significantly between standard and premium facilities.

City-Based Pricing Differences:

In Turkey, the cost of medical procedures can vary by city. Major cities like Istanbul, Ankara, and Izmir generally have higher prices due to increased demand and living costs.

Istanbul: As the largest and most expensive city, costs here are at the higher end of the spectrum. Expect to pay about 10-20% more compared to other cities.
Ankara: The capital city offers slightly lower costs compared to Istanbul, with prices approximately 5-15% less.
Izmir: Generally, Izmir is the most affordable among these cities, with costs about 10-20% lower than in Istanbul.

Surgeon’s Expertise:

Highly experienced surgeons may charge more for their expertise. However, investing in a skilled surgeon can result in better outcomes and fewer complications, potentially saving costs in the long run.

Prices of all types of the Dupuytren’s Contracture procedure in Turkey.

Open Fasciectomy

Definition and Details:

Open fasciectomy is the gold standard for treating Dupuytren’s contracture and has been used for many years. This traditional surgical procedure involves the complete removal of the thickened tissue that causes the fingers to bend towards the palm.

The surgery is typically performed under general anesthesia, although regional anesthesia may also be used in some cases.

The surgeon makes a significant incision along the palm to access the affected tissue. The operation involves not only excising the thickened fascia but also carefully preserving the surrounding structures such as nerves and tendons to minimize damage and ensure functional recovery.

The recovery period can be extensive, involving immobilization of the hand with a splint, followed by a regimented course of physical therapy to regain full finger extension and hand function.

This method is effective for advanced cases of Dupuytren’s contracture and is often preferred when the contracture is severe.

Procedure Steps:

Pre-Operative Consultation: Initial assessment by a specialist to determine the need for surgery and discuss potential outcomes.
Anesthesia Administration: Administration of general or regional anesthesia to ensure patient comfort during the procedure.
Surgical Incision: A longitudinal incision is made along the palm to access the affected tissue.
Tissue Removal: The thickened fascia is carefully excised, with meticulous attention to preserving surrounding tissues.
Wound Closure: The incision is closed with sutures or staples.
Post-Operative Care: The hand is typically placed in a splint to immobilize it during the early recovery phase.
Rehabilitation: Includes physical therapy and follow-up visits to monitor recovery and restore hand function.

Pricing Breakdown:

Pre-Operative Consultation: $150 to $300
Diagnostic Tests (e.g., Ultrasound, MRI): $200 to $500
Anesthesia Fee: $500 to $1,000
Surgeon’s Fee: $1,500 to $3,000
Hospital Facility Fee: $800 to $2,000
Operating Room Charges: $500 to $1,000

Post-Operative Care:

Follow-Up Visits: $100 to $200 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Wound Care Supplies: $100 to $300
Total Estimated Cost: $3,650 to $8,000

Percutaneous Needle Fasciotomy (PNF)

Definition and Details:

Percutaneous Needle Fasciotomy (PNF) is a minimally invasive procedure designed to treat Dupuytren’s contracture. It involves the use of a needle to puncture the skin and break up the thickened tissue beneath it.

Unlike open fasciectomy, PNF does not require a large incision, making it less invasive and often resulting in a quicker recovery time.

The procedure is usually performed under local anesthesia, which means patients are awake but the hand is numb. The needle is inserted through the skin into the thickened fascia, and the contracture is mechanically broken apart.

This technique is suitable for patients with less severe contractures or those who prefer a less invasive option. Post-procedure, patients often experience immediate relief in hand function, though a course of physical therapy is typically required to optimize outcomes and ensure full recovery.

Procedure Steps:

Pre-Operative Consultation: Evaluation of the contracture severity and discussion of the minimally invasive approach.
Anesthesia Administration: Local anesthesia is administered to numb the hand.
Needle Insertion: A fine needle is inserted through the skin to access and break up the thickened fascia.
Manipulation: The hand may be manipulated to help release the contracture.
Post-Procedure Care: The hand may be bandaged, and follow-up instructions are provided.
Rehabilitation: Includes physical therapy sessions to restore hand functionality.

Pricing Breakdown:

Pre-Operative Consultation: $100 to $250
Anesthesia Fee: $200 to $500

Procedure Fee:

Surgeon’s Fee: $1,000 to $2,500
Clinic or Facility Fee: $300 to $800

Post-Procedure Care:

Follow-Up Visits: $75 to $150 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $300 to $800
Medications and Supplies: $50 to $150
Total Estimated Cost: $1,925 to $4,500

Collagenase Injection

Definition and Details:

Collagenase injection is a non-surgical treatment for Dupuytren’s contracture involving the injection of a collagenase enzyme directly into the affected area.

This enzyme breaks down the collagen that causes the thickening and contracture of the tissue. The procedure is minimally invasive and is performed in a clinic setting, often under local anesthesia. After the injection, the affected fingers are usually manipulated the next day to help break up the contracted tissue.

This method is particularly useful for patients with moderate contractures and those who prefer to avoid traditional surgery.

The recovery time is relatively short, but patients may require additional sessions of therapy to achieve optimal results.

Procedure Steps:

Pre-Operative Consultation: Assessment of the contracture and discussion of the injection procedure.
Anesthesia Administration: Local anesthesia is administered to minimize discomfort.
Collagenase Injection: The enzyme is injected into the thickened tissue.
Follow-Up Manipulation: The hand is manipulated to break up the tissue, usually within a day or two after the injection.
Post-Procedure Care: Instructions are provided for managing the injection site and follow-up visits.
Rehabilitation: Involves physical therapy to improve hand function and strength.

Pricing Breakdown:

Pre-Operative Consultation: $100 to $250
Anesthesia Fee: $100 to $300

Injection Fee:

Collagenase Injection: $800 to $1,800
Clinic or Facility Fee: $200 to $500

Post-Procedure Care:

Follow-Up Visits: $75 to $150 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $300 to $800
Medications and Supplies: $50 to $150
Total Estimated Cost: $1,525 to $3,800

Needle Aponeurotomy

Definition and Details:

Needle aponeurotomy is a less invasive technique similar to percutaneous needle fasciotomy but with slight differences in the approach.

This procedure involves the use of a needle to break the thickened fascia that causes Dupuytren’s contracture.

It is performed under local anesthesia and involves inserting the needle into the affected area to disrupt the fibrous tissue.

This technique is particularly effective for patients with less severe contractures and can provide significant improvement in hand function with minimal recovery time.

Post-procedure, patients typically undergo a brief period of physical therapy to enhance recovery and restore full hand function.

Procedure Steps:

Pre-Operative Consultation: Evaluation of the contracture and discussion of the needle aponeurotomy technique.
Anesthesia Administration: Local anesthesia is administered to numb the hand.
Needle Insertion: A needle is inserted through the skin to access and break the thickened fascia.
Tissue Disruption: The needle is used to disrupt the fibrous tissue and release the contracture.
Post-Procedure Care: The hand is bandaged, and follow-up instructions are provided.
Rehabilitation: Includes physical therapy sessions to restore hand functionality.

Pricing Breakdown:

Pre-Operative Consultation: $100 to $250
Anesthesia Fee: $100 to $300

Procedure Fee:

Surgeon’s Fee: $1,000 to $2,000
Clinic or Facility Fee: $300 to $600

Post-Procedure Care:

Follow-Up Visits: $75 to $150 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $300 to $700
Medications and Supplies: $50 to $150
Total Estimated Cost: $1,925 to $4,450

Minimally Invasive Fasciectomy

Definition and Details:

Minimally invasive fasciectomy is an advanced surgical technique that aims to reduce the invasiveness of traditional open fasciectomy while still addressing the Dupuytren’s contracture effectively.

This procedure typically involves smaller incisions or even endoscopic tools to access and remove the thickened tissue.

The goal is to minimize scarring and reduce the recovery time compared to open fasciectomy. Patients can expect a shorter hospital stay and less postoperative discomfort.

The procedure is suitable for patients with moderate to severe contractures who are looking for a less invasive alternative to traditional surgery.

Procedure Steps:

Pre-Operative Consultation: Detailed evaluation of the contracture and discussion of the minimally invasive approach.
Anesthesia Administration: General or regional anesthesia is administered to ensure patient comfort.
Surgical Incisions: Small incisions or endoscopic tools are used to access the affected tissue.
Tissue Removal: The thickened fascia is carefully excised through the small incisions.
Wound Closure: The incisions are closed with minimal sutures or adhesive strips.
Post-Operative Care: Includes bandaging and instructions for wound care.
Rehabilitation: Physical therapy is required to restore hand function and flexibility.

Pricing Breakdown:

Pre-Operative Consultation: $150 to $300
Anesthesia Fee: $500 to $1,000

Procedure Fee:

Surgeon’s Fee: $2,000 to $4,000
Clinic or Facility Fee: $500 to $1,200

Post-Procedure Care:

Follow-Up Visits: $100 to $200 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Supplies: $100 to $300
Total Estimated Cost: $3,850 to $8,500

Surgical Needle Aponeurotomy

Definition and Details:

Surgical needle aponeurotomy is a refined version of the needle aponeurotomy technique that combines traditional needle aponeurotomy with additional surgical interventions.

This approach involves using a needle to break the contractured tissue, followed by minor surgical procedures to ensure a more comprehensive release of the contracture.

It is performed under local anesthesia and is often used for patients who have had incomplete results from needle aponeurotomy alone.

This method provides a balance between minimally invasive techniques and more traditional surgical interventions.

Procedure Steps:

Pre-Operative Consultation: Assessment of the contracture and discussion of the combined approach.

Anesthesia Administration: Local anesthesia is administered to numb the hand.

Needle Insertion: A needle is used to access and disrupt the thickened fascia.

Surgical Intervention: Additional minor surgical techniques are used to ensure a complete release.

Post-Procedure Care: The hand is bandaged, and follow-up instructions are provided.

Rehabilitation: Includes physical therapy to enhance recovery and function.

Pricing Breakdown:

Pre-Operative Consultation: $100 to $250
Anesthesia Fee: $100 to $300

Procedure Fee:

Surgeon’s Fee: $1,500 to $3,000
Clinic or Facility Fee: $400 to $800

Post-Procedure Care:

Follow-Up Visits: $75 to $150 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $300 to $700
Medications and Supplies: $50 to $150
Total Estimated Cost: $2,425 to $5,200

Endoscopic Fasciectomy

Definition and Details:

Endoscopic fasciectomy is a modern surgical approach that uses endoscopic tools to treat Dupuytren’s contracture.

This technique involves making tiny incisions through which an endoscope (a thin tube with a camera) and specialized instruments are inserted to remove the thickened tissue.

The endoscopic approach allows for greater precision and less trauma to surrounding tissues compared to open fasciectomy.

This method is ideal for patients seeking a less invasive option with minimal scarring and faster recovery times. Postoperative care involves monitoring for complications and engaging in physical therapy to maximize hand function.

Procedure Steps:

Pre-Operative Consultation: Comprehensive evaluation to determine suitability for endoscopic approach.
Anesthesia Administration: General or regional anesthesia is provided.
Endoscopic Incisions: Small incisions are made to insert the endoscope and surgical instruments.
Tissue Removal: The thickened fascia is excised using endoscopic tools.
Wound Closure: The small incisions are closed with minimal suturing.
Post-Operative Care: Includes wound care and monitoring for complications.
Rehabilitation: Physical therapy is essential for restoring hand function.

Pricing Breakdown:

Pre-Operative Consultation: $150 to $300
Anesthesia Fee: $500 to $1,000

Procedure Fee:

Surgeon’s Fee: $2,500 to $4,500
Clinic or Facility Fee: $600 to $1,200

Post-Procedure Care:

Follow-Up Visits: $100 to $200 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Supplies: $100 to $300
Total Estimated Cost: $3,950 to $8,500

Dermofasciectomy

Definition and Details:

Dermofasciectomy is a specialized surgical approach that not only removes the thickened fascia but also involves the excision of the overlying skin.

This method is used in more severe cases of Dupuytren’s contracture where the skin is also affected by the disease process.

The procedure involves making a larger incision to remove both the abnormal tissue and the affected skin. After the removal, a skin graft may be used to cover the surgical site.

This technique aims to reduce the risk of contracture recurrence and provides a more comprehensive treatment for advanced cases.

Procedure Steps:

Pre-Operative Consultation: Detailed evaluation to assess the need for dermofasciectomy and skin grafting.
Anesthesia Administration: General anesthesia is typically used due to the extent of the procedure.
Surgical Incision: A large incision is made to remove both the thickened fascia and affected skin.
Tissue and Skin Removal: Both the abnormal tissue and the overlying skin are excised.
Skin Grafting: A skin graft is applied to cover the surgical area.
Wound Closure: The area is sutured and bandaged.
Post-Operative Care: Includes wound care, monitoring for graft acceptance, and rehabilitation.

Pricing Breakdown:

Pre-Operative Consultation: $150 to $300
Anesthesia Fee: $1,000 to $2,000

Procedure Fee:

Surgeon’s Fee: $3,000 to $5,000
Clinic or Facility Fee: $800 to $1,500

Post-Procedure Care:

Follow-Up Visits: $100 to $200 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Supplies: $100 to $300
Skin Graft Costs: $500 to $1,000
Total Estimated Cost: $5,650 to $11,800

Fasciotomy with Splinting

Definition and Details:

Fasciotomy with splinting combines the fasciotomy technique with an extended period of splinting to manage Dupuytren’s contracture.

This method involves surgically releasing the thickened fascia through small incisions and then applying a splint to keep the hand in a corrected position.

The splinting is intended to maintain the hand in an extended position to prevent the recurrence of contracture.

This approach is particularly beneficial for patients requiring additional support to ensure that the hand heals correctly and function is restored.

Procedure Steps:

Pre-Operative Consultation: Evaluation of contracture and discussion of fasciotomy with splinting.
Anesthesia Administration: Local or general anesthesia, depending on the extent of the procedure.
Fasciotomy: Small incisions are made to release the thickened fascia.
Splint Application: A splint is applied to keep the hand in an extended position post-surgery.
Post-Procedure Care: Includes splint management and follow-up visits.
Rehabilitation: Physical therapy to maintain hand function and flexibility.

Pricing Breakdown:

Pre-Operative Consultation: $150 to $300
Anesthesia Fee: $500 to $1,000

Procedure Fee:

Surgeon’s Fee: $1,500 to $3,000
Clinic or Facility Fee: $400 to $800

Post-Procedure Care:

Follow-Up Visits: $75 to $150 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $300 to $700
Medications and Supplies: $50 to $150
Splint Costs: $200 to $400
Total Estimated Cost: $2,675 to $5,550

Cryoneurolysis

Definition and Details:

Cryoneurolysis is a novel, minimally invasive procedure that uses extreme cold to treat Dupuytren’s contracture.

The technique involves the application of cryoablation (cold therapy) to the nerves that supply the affected area, aiming to disrupt the signals that contribute to the contracture.

This method is used for patients with less severe cases or as an adjunct to other therapies. Cryoneurolysis is generally performed under local anesthesia and is designed to reduce the fibrotic tissue without traditional surgical intervention.

The procedure is less invasive and typically results in quicker recovery times, though it may require multiple sessions for optimal results.

Procedure Steps:

Pre-Operative Consultation: Evaluation of the contracture and discussion of cryoneurolysis.

Anesthesia Administration: Local anesthesia is applied to numb the treatment area.

Cryoneurolysis Application: Cold therapy is applied to the affected nerves.

Post-Procedure Care: Monitoring for immediate effects and any potential side effects.

Rehabilitation: Includes follow-up visits to assess hand function and physical therapy if needed.

Pricing Breakdown:

Pre-Operative Consultation: $100 to $250
Anesthesia Fee: $100 to $300

Procedure Fee:

Surgeon’s Fee: $1,000 to $2,000
Clinic or Facility Fee: $300 to $600

Post-Procedure Care:

Follow-Up Visits: $75 to $150 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $200 to $500
Medications and Supplies: $50 to $100
Total Estimated Cost: $1,725 to $3,900

Price Analysis of Dupuytren’s Contracture Procedures in Istanbul, Ankara, and Izmir.

Needle Aponeurotomy

Istanbul:

Pre-Operative Consultation: $150 to $300
Anesthesia Fee: $200 to $400
Surgeon’s Fee: $1,000 to $2,000
Clinic or Facility Fee: $300 to $600
Follow-Up Visits: $75 to $150 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $300 to $700
Medications and Supplies: $50 to $100

Ankara:

Pre-Operative Consultation: $120 to $250
Anesthesia Fee: $180 to $350
Surgeon’s Fee: $900 to $1,800
Clinic or Facility Fee: $250 to $500
Follow-Up Visits: $60 to $130 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $250 to $600
Medications and Supplies: $40 to $80

Izmir:

Pre-Operative Consultation: $140 to $270
Anesthesia Fee: $190 to $370
Surgeon’s Fee: $950 to $1,900
Clinic or Facility Fee: $280 to $550
Follow-Up Visits: $65 to $140 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $280 to $650
Medications and Supplies: $45 to $90

Open Fasciectomy

Istanbul:

Pre-Operative Consultation: $200 to $350
Anesthesia Fee: $500 to $1,000
Surgeon’s Fee: $2,500 to $4,500
Clinic or Facility Fee: $800 to $1,500
Follow-Up Visits: $100 to $200 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Supplies: $150 to $300

Ankara:

Pre-Operative Consultation: $180 to $320
Anesthesia Fee: $450 to $950
Surgeon’s Fee: $2,200 to $4,000
Clinic or Facility Fee: $700 to $1,300
Follow-Up Visits: $90 to $180 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $400 to $1,200
Medications and Supplies: $120 to $270

Izmir:

Pre-Operative Consultation: $190 to $340
Anesthesia Fee: $470 to $980
Surgeon’s Fee: $2,300 to $4,200
Clinic or Facility Fee: $750 to $1,400
Follow-Up Visits: $95 to $190 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $450 to $1,300
Medications and Supplies: $130 to $280

Needle Aponeurotomy with Surgical Assistance

Istanbul:

Pre-Operative Consultation: $150 to $300
Anesthesia Fee: $300 to $600
Surgeon’s Fee: $1,500 to $3,000
Clinic or Facility Fee: $400 to $800
Follow-Up Visits: $75 to $150 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $300 to $700
Medications and Supplies: $50 to $150

Ankara:

Pre-Operative Consultation: $120 to $250
Anesthesia Fee: $250 to $500
Surgeon’s Fee: $1,200 to $2,500
Clinic or Facility Fee: $350 to $700
Follow-Up Visits: $60 to $130 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $250 to $600
Medications and Supplies: $40 to $100

Izmir:

Pre-Operative Consultation: $140 to $270
Anesthesia Fee: $270 to $550
Surgeon’s Fee: $1,300 to $2,800
Clinic or Facility Fee: $380 to $750
Follow-Up Visits: $65 to $140 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $280 to $650
Medications and Supplies: $45 to $120

Minimally Invasive Fasciectomy

Istanbul:

Pre-Operative Consultation: $200 to $350
Anesthesia Fee: $500 to $1,000
Surgeon’s Fee: $2,000 to $4,000
Clinic or Facility Fee: $700 to $1,300
Follow-Up Visits: $100 to $200 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Supplies: $150 to $300

Ankara:

Pre-Operative Consultation: $180 to $320
Anesthesia Fee: $450 to $950
Surgeon’s Fee: $1,800 to $3,800
Clinic or Facility Fee: $650 to $1,200
Follow-Up Visits: $90 to $180 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $400 to $1,200
Medications and Supplies: $120 to $270

Izmir:

Pre-Operative Consultation: $190 to $340
Anesthesia Fee: $470 to $980
Surgeon’s Fee: $1,900 to $4,000
Clinic or Facility Fee: $700 to $1,250
Follow-Up Visits: $95 to $190 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $450 to $1,300
Medications and Supplies: $130 to $280

Fasciectomy with Skin Grafting

Istanbul:

Pre-Operative Consultation: $250 to $400
Anesthesia Fee: $700 to $1,200
Surgeon’s Fee: $3,000 to $5,000
Clinic or Facility Fee: $1,000 to $1,800
Follow-Up Visits: $150 to $250 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $700 to $1,800
Medications and Supplies: $200 to $400
Skin Graft Costs: $800 to $1,500

Ankara:

Pre-Operative Consultation: $220 to $350
Anesthesia Fee: $600 to $1,100
Surgeon’s Fee: $2,800 to $4,500
Clinic or Facility Fee: $900 to $1,600
Follow-Up Visits: $120 to $220 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Supplies: $150 to $350
Skin Graft Costs: $700 to $1,400

Izmir:

Pre-Operative Consultation: $240 to $370
Anesthesia Fee: $650 to $1,150
Surgeon’s Fee: $2,900 to $4,800
Clinic or Facility Fee: $950 to $1,700
Follow-Up Visits: $130 to $230 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $550 to $1,600
Medications and Supplies: $170 to $380
Skin Graft Costs: $750 to $1,450

Collagenase Injection Therapy

Istanbul:

Pre-Operative Consultation: $150 to $300
Anesthesia Fee: $200 to $400
Surgeon’s Fee: $1,500 to $3,000
Clinic or Facility Fee: $400 to $800
Follow-Up Visits: $75 to $150 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $300 to $700
Medications and Supplies: $50 to $100

Ankara:

Pre-Operative Consultation: $120 to $250
Anesthesia Fee: $180 to $350
Surgeon’s Fee: $1,200 to $2,500
Clinic or Facility Fee: $350 to $700
Follow-Up Visits: $60 to $130 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $250 to $600
Medications and Supplies: $40 to $80

Izmir:

Pre-Operative Consultation: $140 to $270
Anesthesia Fee: $190 to $370
Surgeon’s Fee: $1,300 to $2,800
Clinic or Facility Fee: $380 to $750
Follow-Up Visits: $65 to $140 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $280 to $650
Medications and Supplies: $45 to $100

Percutaneous Needle Fasciotomy

Istanbul:

Pre-Operative Consultation: $150 to $300
Anesthesia Fee: $200 to $400
Surgeon’s Fee: $1,200 to $2,500
Clinic or Facility Fee: $300 to $600
Follow-Up Visits: $75 to $150 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $300 to $700
Medications and Supplies: $50 to $100

Ankara:

Pre-Operative Consultation: $120 to $250
Anesthesia Fee: $180 to $350
Surgeon’s Fee: $1,000 to $2,200
Clinic or Facility Fee: $250 to $500
Follow-Up Visits: $60 to $130 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $250 to $600
Medications and Supplies: $40 to $80

Izmir:

Pre-Operative Consultation: $140 to $270
Anesthesia Fee: $190 to $370
Surgeon’s Fee: $1,100 to $2,400
Clinic or Facility Fee: $280 to $550
Follow-Up Visits: $65 to $140 per visit (usually 1-2 visits)
Rehabilitation and Physical Therapy: $280 to $650
Medications and Supplies: $45 to $90

Skin Grafting After Fasciectomy

Istanbul:

Pre-Operative Consultation: $250 to $400
Anesthesia Fee: $700 to $1,200
Surgeon’s Fee: $3,000 to $5,000
Clinic or Facility Fee: $1,000 to $1,800
Follow-Up Visits: $150 to $250 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $700 to $1,800
Medications and Supplies: $200 to $400
Skin Graft Costs: $800 to $1,500

Ankara:

Pre-Operative Consultation: $220 to $350
Anesthesia Fee: $600 to $1,100
Surgeon’s Fee: $2,800 to $4,500
Clinic or Facility Fee: $900 to $1,600
Follow-Up Visits: $120 to $220 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Supplies: $150 to $350
Skin Graft Costs: $700 to $1,400

Izmir:

Pre-Operative Consultation: $240 to $370
Anesthesia Fee: $650 to $1,150
Surgeon’s Fee: $2,900 to $4,800
Clinic or Facility Fee: $950 to $1,700
Follow-Up Visits: $130 to $230 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $550 to $1,600
Medications and Supplies: $170 to $380
Skin Graft Costs: $750 to $1,450

Open Fasciectomy with Regional Anesthesia

Istanbul:

Pre-Operative Consultation: $200 to $350
Anesthesia Fee: $500 to $1,000
Surgeon’s Fee: $2,500 to $4,500
Clinic or Facility Fee: $800 to $1,500
Follow-Up Visits: $100 to $200 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Supplies: $150 to $300

Ankara:

Pre-Operative Consultation: $180 to $320
Anesthesia Fee: $450 to $950
Surgeon’s Fee: $2,200 to $4,000
Clinic or Facility Fee: $700 to $1,300
Follow-Up Visits: $90 to $180 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $400 to $1,200
Medications and Supplies: $120 to $270

Izmir:

Pre-Operative Consultation: $190 to $340
Anesthesia Fee: $470 to $980
Surgeon’s Fee: $2,300 to $4,200
Clinic or Facility Fee: $750 to $1,400
Follow-Up Visits: $95 to $190 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $450 to $1,300
Medications and Supplies: $130 to $280

Endoscopic Fasciotomy

Istanbul:

Pre-Operative Consultation: $150 to $300
Anesthesia Fee: $400 to $800
Surgeon’s Fee: $2,000 to $4,000
Clinic or Facility Fee: $700 to $1,200
Follow-Up Visits: $100 to $200 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $500 to $1,500
Medications and Supplies: $150 to $300

Ankara:

Pre-Operative Consultation: $120 to $250
Anesthesia Fee: $300 to $600
Surgeon’s Fee: $1,800 to $3,500
Clinic or Facility Fee: $600 to $1,000
Follow-Up Visits: $80 to $160 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $400 to $1,200
Medications and Supplies: $120 to $250

Izmir:

Pre-Operative Consultation: $140 to $270
Anesthesia Fee: $320 to $700
Surgeon’s Fee: $1,900 to $3,800
Clinic or Facility Fee: $650 to $1,100
Follow-Up Visits: $85 to $170 per visit (usually 2-3 visits)
Rehabilitation and Physical Therapy: $450 to $1,300
Medications and Supplies: $130 to $280

Additional Considerations

Insurance and Financing:

Insurance Coverage: Check if your insurance covers international surgeries or if there are specific requirements for coverage.
Financing Options: Some clinics offer financing plans or payment in installments. Be sure to inquire about these options if needed.

Travel and Accommodation:

Travel Costs: Depending on your location, travel costs to Turkey can add to the overall expense. Flights may range from $500 to $1,500.
Accommodation Costs: Staying in Turkey for the duration of the treatment and recovery can cost between $50 and $150 per night, depending on your choice of accommodation.

Language Barriers and Support:

Language Services: Ensure the clinic provides language support if needed. Some clinics offer translation services at an additional cost.
Support Services: Consider whether the clinic provides assistance with travel and accommodation arrangements.

How to prepare for a Dupuytren’s Contracture procedure?

Personal Preparations

Thorough Understanding of the Procedure:

In-Depth Research: Invest time in researching Dupuytren’s contracture and the specific treatment options available. Understand the nature of the contracture, the types of surgical and non-surgical treatments, and the expected outcomes. Study various methods such as needle aponeurotomy, collagenase injection, and surgical fasciectomy. Consider reading patient experiences and reviews to gain insights into the recovery process and results.
Educational Resources: Utilize reputable sources such as medical journals, patient education websites, and information from professional medical associations. Engage in discussions on forums or support groups for additional perspectives.

Pre-Surgical Consultation and Assessment:

Scheduling and Preparation: Arrange a consultation with your chosen surgeon or specialist to discuss your condition and treatment options. Prepare a list of questions about the procedure, potential risks, benefits, and recovery expectations. Ensure the consultation is scheduled well in advance of the procedure date to accommodate any necessary pre-operative assessments.
Second Opinions: Consider seeking a second opinion from another specialist to confirm the recommended treatment plan and to gain additional perspectives.

Health Optimization and Pre-Operative Health Check:

Comprehensive Medical Evaluation: Schedule a thorough health check-up with your primary care physician or a specialist. This evaluation should include a physical examination, blood tests, cardiovascular assessments, and other relevant diagnostics. The aim is to ensure you are in optimal health for surgery and to identify any underlying conditions that may affect the procedure or recovery.
Address Existing Health Issues: If you have chronic conditions such as diabetes, hypertension, or cardiovascular disease, work with your healthcare provider to manage these conditions effectively before the procedure.

Medication and Supplement Review:

List of Medications: Compile a complete list of all medications, including prescription drugs, over-the-counter medications, and dietary supplements. Share this list with your surgeon and pharmacist to review potential interactions and make necessary adjustments.
Medication Adjustments: Some medications, particularly blood thinners or anti-inflammatory drugs, may need to be paused or adjusted before surgery. Follow your healthcare provider’s instructions regarding any changes.

Lifestyle and Dietary Adjustments:

Balanced Nutrition: Adopt a nutritious diet rich in vitamins, minerals, and protein to support healing and recovery. Incorporate foods known to aid in wound healing, such as fruits, vegetables, lean proteins, and whole grains.
Avoid Harmful Substances: Refrain from smoking and limit alcohol consumption, as these can negatively impact recovery and increase the risk of complications. Smoking cessation is particularly crucial for optimal healing.

Home Preparation and Post-Procedure Environment:

Create a Recovery-Friendly Space: Designate a comfortable area in your home where you can rest and recover. Ensure that this space is easily accessible, with essential items like medications, bandages, and mobility aids within reach.
Prepare for Mobility Challenges: If the procedure will limit your mobility, arrange for necessary modifications at home, such as grab bars in the bathroom and an easy-to-reach setup for frequently used items.

Arranging Support and Assistance:

Plan for Help: Organize support from family members, friends, or professional caregivers for the initial days following the procedure. Assistance may be needed for daily activities such as meal preparation, personal hygiene, and transportation to follow-up appointments.
Post-Operative Assistance: Ensure that you have someone available to help with transportation to and from the medical facility on the day of the procedure, especially if you will be under sedation or anesthesia.

Physical Conditioning and Exercise:

Engage in Pre-Surgery Exercise: Incorporate light exercises and stretching routines to improve overall physical condition and flexibility. Consult with a physiotherapist or fitness trainer to develop a pre-operative exercise plan that is safe and beneficial.
Strength and Endurance: Focus on exercises that enhance strength and endurance, which can contribute to a more effective recovery process.

Insurance and Financial Arrangements:

Verify Insurance Coverage: Contact your health insurance provider to confirm coverage details for the procedure, including pre-operative, operative, and post-operative expenses. Understand any deductibles, co-payments, or out-of-pocket costs you may be responsible for.
Budgeting and Financial Planning: Prepare a budget for additional costs that may arise, such as travel expenses or out-of-pocket expenses not covered by insurance. Ensure that you have the necessary financial resources in place.

Mental and Emotional Preparation:

Stress Management Techniques: Practice relaxation techniques such as meditation, deep breathing exercises, or mindfulness to manage pre-surgery anxiety and stress. A calm and positive mindset can positively influence your overall experience and recovery.
Mental Health Support: If you have concerns or fears about the procedure, consider speaking with a counselor or therapist. Mental health support can help you cope with the emotional aspects of undergoing surgery.

Preparations with the Doctor

Comprehensive Medical History Review:

Detailed Medical History: Provide your surgeon with a complete and accurate medical history, including previous surgeries, chronic conditions, allergies, and family medical history. This information is critical for tailoring the procedure to your specific needs and minimizing potential risks.
Health Conditions Disclosure: Disclose any recent changes in your health or new symptoms that may affect the procedure. Transparency with your healthcare provider ensures better planning and risk management.

Pre-Operative Testing and Diagnostics:

Undergoing Required Tests: Complete all recommended pre-operative tests, such as blood work, urinalysis, ECG, and imaging studies. These tests help assess your overall health and identify any conditions that could impact the surgery.
Interpreting Results: Discuss the results of these tests with your surgeon to understand how they may affect the procedure or your recovery. Address any concerns or abnormalities identified in the tests.

Anesthesia Consultation and Planning:

Consult with Anesthesiologist: Meet with the anesthesiologist to discuss the type of anesthesia that will be used during the procedure. Provide information about any previous reactions to anesthesia or any concerns you may have.
Pre-Anesthesia Instructions: Follow any pre-anesthesia instructions provided, including fasting requirements and medication adjustments. This ensures that the anesthesia process proceeds smoothly.

Detailed Procedure Explanation:

Clarify Surgical Details: Ensure that you fully understand the specifics of the procedure, including the surgical technique, expected outcomes, and potential risks. Request a step-by-step explanation of what will occur during the surgery.
Discuss Alternative Options: If applicable, discuss alternative treatment options or complementary therapies with your surgeon. Understanding all available options allows you to make an informed decision about your treatment.

Review and Sign Consent Forms:

Consent Form Examination: Carefully review all consent forms and surgical agreements provided by your surgeon. These forms outline the procedure, potential risks, and your rights as a patient.
Ask Questions: If you have any questions or concerns about the consent forms, seek clarification from your surgeon before signing. Ensure you understand the implications of the procedure and agree to all terms.

Post-Operative Care Planning:

Discuss Recovery Plan: Review the post-operative care plan with your surgeon, including wound care, medication schedules, physical therapy, and follow-up visits. Understand the steps you need to take to ensure proper healing.
Clarify Restrictions: Discuss any activity restrictions or limitations you will need to adhere to during recovery. This includes guidelines for movement, lifting, and resuming normal activities.

Emergency Contact Information:

Obtain Contact Details: Ensure you have the contact information for your surgeon or a designated medical contact for any post-operative concerns or emergencies. Know how to reach them if you experience any issues or complications after the procedure.
Emergency Procedures: Understand the protocol for handling emergencies or unexpected complications. This includes knowing when and how to seek immediate medical attention.

Follow Pre-Surgical Instructions:

Adherence to Guidelines: Follow all specific pre-surgical instructions provided by your surgeon. This may include dietary restrictions, medication adjustments, and preparation guidelines for the day of the procedure.
Pre-Surgery Checklist: Use a pre-surgery checklist to ensure that you complete all necessary tasks and follow all instructions leading up to the procedure. This helps prevent last-minute issues and ensures you are fully prepared.

Procedure Day Logistics:

Confirm Details: Verify the date, time, and location of the procedure, as well as any specific check-in procedures. Confirm transportation arrangements and ensure you have everything you need for the day of the surgery.
Arrival and Check-In: Arrive at the medical facility on time and follow check-in procedures as directed. Prepare to provide any necessary documentation or information required before the procedure begins.

Scheduling and Attending Follow-Up Appointments:

Plan Follow-Up Visits: Schedule follow-up appointments with your surgeon to monitor your recovery and address any concerns. Follow-up visits are essential for assessing the healing process and making any necessary adjustments to your care plan.
Adherence to Follow-Up Care: Attend all scheduled follow-up appointments and adhere to the recommendations provided during these visits. Effective follow-up care contributes to a successful recovery and long-term outcome.

What happens during a Dupuytren’s Contracture procedure?

Pre-Operative Preparation and Anesthesia Administration

Description:

Before the surgical procedure begins, the patient undergoes pre-operative preparations, and anesthesia is administered to ensure a comfortable and pain-free experience.

What the Doctor Does:

Verification: Confirm the patient’s identity, review the surgical plan, and discuss any last-minute questions or concerns.
Anesthesia Selection: Decide on the type of anesthesia (local, regional, or general) based on the complexity of the procedure and patient needs. Local anesthesia numbs only the surgical area, while general anesthesia induces a state of unconsciousness.
Anesthesia Administration: Administer the chosen anesthesia. For local anesthesia, an injection is made into the hand to numb the area. For general anesthesia, the patient is given medication through an IV or inhalation to induce sleep.
Monitoring: Continuously monitor the patient’s vital signs, including heart rate, blood pressure, and oxygen levels, throughout the procedure to ensure safety and comfort.

Surgical Site Preparation

Description:

Preparing the surgical site is essential to maintain a sterile environment and reduce the risk of infection.

What the Doctor Does:

Site Cleansing: Cleanse the surgical area thoroughly using antiseptic solutions, such as iodine or chlorhexidine, to minimize microbial contamination.
Draping: Cover the surrounding areas with sterile drapes, leaving only the surgical site exposed. This step is crucial to create a sterile field and prevent infection.
Marking: Mark the surgical site with a sterile marker to guide the incision placement and ensure accuracy during the surgery.

Incision and Exposure

Description:

An incision is made to access the affected tissue, allowing the surgeon to treat the Dupuytren’s cords.

What the Doctor Does:

Incision Making: Carefully make an incision along the palm of the hand and possibly extend into the fingers. The length and location of the incision depend on the extent of the Dupuytren’s contracture.
Dissection: Gently separate the tissue layers using surgical instruments to expose the Dupuytren’s cords and nodules. This step involves careful dissection to avoid damaging surrounding structures.
Exposure: Ensure that the affected area is fully visible and accessible for treatment. This may involve retracting the skin and soft tissues to provide a clear view of the contracted cords.

Treatment of Dupuytren’s Cords

Description:

The core part of the procedure involves treating the Dupuytren’s cords, which cause the fingers to contract.

What the Doctor Does:

Cord Removal (Surgical Fasciectomy): Excise the affected Dupuytren’s cords and nodules. This involves removing the fibrous tissue responsible for the contracture while preserving as much healthy tissue as possible.
Collagenase Injection (Collagenase Clostridium Histolyticum): If this method is used, inject collagenase into the Dupuytren’s cords to break down the collagen fibers. This allows the cords to be manually broken and straightened.
Needle Aponeurotomy: For this technique, insert a needle into the cords to divide them. The needle is manipulated to sever the fibrous tissue, releasing the contracture.

Debridement and Cleaning

Description:

Post-treatment, the surgical area is cleaned to remove any residual tissue and debris, and to prepare for closure.

What the Doctor Does:

Debridement: Carefully remove any remaining tissue fragments, blood clots, or debris from the surgical site. This helps to prevent complications such as infection or delayed healing.
Wound Cleaning: Clean the wound thoroughly to reduce the risk of infection. This may involve irrigating the area with sterile solutions.
Assessment: Examine the surgical area for any signs of bleeding or complications that need to be addressed before proceeding to the closure phase.

Closure of the Incision

Description:

The incision is closed to restore the skin’s integrity and promote healing.

What the Doctor Does:

Suturing: Close the incision using sutures or staples. This involves stitching or stapling the skin and underlying tissue to bring the edges of the incision together.
Layering: Ensure that all tissue layers (skin, subcutaneous tissue, fascia) are properly aligned and secured. This is critical for proper healing and minimizing scarring.
Wound Dressing: Apply a sterile dressing or bandage over the closed incision to protect it from infection and keep it clean.

Application of Splint or Bandage

Description:

A splint or bandage is applied to support the hand and maintain proper finger alignment during recovery.

What the Doctor Does:

Splint Application: Place a splint or support bandage to keep the fingers in the correct position. This helps to maintain the improved alignment and prevent contracture from recurring.
Securement: Ensure that the splint is securely fastened but not too tight, as excessive pressure can affect circulation and cause discomfort.
Patient Instructions: Provide guidance on how to care for the splint or bandage, including how to adjust or replace it if necessary.

Post-Operative Monitoring

Description:

After the procedure, the patient is monitored to ensure stability and assess the initial outcomes

What the Doctor Does:

Vital Signs Monitoring: Continuously monitor vital signs, such as heart rate, blood pressure, and oxygen levels, to ensure the patient remains stable.
Observation for Complications: Check for any immediate signs of complications, such as excessive bleeding, swelling, or adverse reactions to anesthesia.
Pain Management: Administer pain relief medications as needed to manage discomfort and monitor the patient’s response to pain management.

Patient Instructions and Education

Description:

Before discharge, patients receive detailed instructions on how to manage their recovery and care for the surgical site.

What the Doctor Does:

Post-Operative Care Instructions: Provide clear instructions on wound care, including how to change dressings, signs of infection, and when to seek medical help.
Medication Instructions: Explain how to take prescribed medications, including pain relievers, antibiotics, or other medications necessary for recovery.
Activity Restrictions: Outline restrictions on physical activity, including limitations on hand use, lifting, and movements to ensure proper healing and prevent complications.

Discharge and Follow-Up Arrangements

Description:

Once the immediate post-operative phase is complete, the patient is prepared for discharge, and follow-up care is arranged.

What the Doctor Does:

Discharge Planning: Prepare the patient for discharge by ensuring they understand all post-operative care instructions and have transportation arrangements if necessary.
Follow-Up Appointments: Schedule follow-up visits to monitor progress, assess healing, and address any concerns or complications that may arise.
Contact Information: Provide contact details for the surgical team, including phone numbers and email addresses, in case the patient has questions or needs support after leaving the facility.

Conclusion

Choosing to undergo Dupuytren’s contracture surgery in Turkey can offer significant savings compared to other countries, with high-quality care and various surgical options available.

By understanding the detailed cost breakdown and considering factors like location, surgeon expertise, and additional expenses, you can make an informed decision and plan your treatment effectively.