• Fellowships | Training

Education & Training
for Hand and Microsurgery

The Saitama Hand Surgery Institute, as a basic training institute of the Japanese Society for Surgery of the Hand, provides hand surgery training to orthopedists and plastic surgeons who aspire to be a hand surgery specialist.
Approximately 30 doctors have received hand surgery training at our institute since its founding.

Dealing with general hand-surgical diseases, we are characterized by collaborative care by plastic surgeons and orthopedists. Our institute also has an animal experiment laboratory for microsurgery training to provide instruction on vascular anastomosis and neurorrhaphy under a surgical microscope from entry level.

For orthopedists, we provide instruction on treatments with plastic surgery characteristics, such as microsurgery, reconstruction of skin/soft tissue using a flap, and cosmetic care for congenital abnormality and hand surgery.
Plastic surgeons, in fact, rarely have an opportunity to learn about the treatment of orthopedic trauma like fracture of upper-extremity at college. At our institute, you can see various cases of hand-surgery ranging from the elbow to the fingertips.

In our view, in principle, it is desirable to take hand surgery training with a specialist qualification of orthopedics or plastic surgery.
The training period is basically 1 year, but short-term trainees may be accepted.

Past International Hand Fellows

In 2015
Siva Raj Paneru, MD, Department of Orthopaedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
Bishnu Pokharel, MD, Department of Orthopaedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
In 2016
Luigi Mingarelli, MD, Department of Orthopaedic and Hand Surgery, Catholic University of Sacred Heart, Rome, Italy

Review from past hand fellows

International fellowship at “Saitama hand surgery institute” has been for me a complete experience of great value. The team directed by Dr. Fukumoto is a virtuous example of collegiality, in which both plastic and orthopedic surgeons, exchange information and opinions on the current cases. Every morning at 8 am, in the comfortable meeting room, interesting or complicated cases are routinely presented and discussed, followed by review of articles from appropriate journals.
Immediately after the meeting, the team moves to the ward, to visit patients and change the dressings, supported by numerous and highly qualified nursing staff.
This is a time of particular importance where the fellow can understand the postoperative management of patients. From 9:30 am begins the surgical activity, which embraces a large series of both trauma and elective pathology. The fellows is enabled to attend the operation as an assistant surgeon.
Each operation is performed according to the most modern and well-established techniques, but also the testing of new techniques and research are a central element in the group's philosophy, thus ensuring a significant contribution to innovation. I’m thinking about the study of rare disorders such as paralysis of the anterior interosseous nerve or new methods for tendon reconstruction or arthroplasties and so on.
The four operating rooms dedicated, are equipped with modern devices for hand surgery such as high-definition / low-emission intensifiers and last generation microscopes for microsurgery.
Once or twice a week, the fellow attend the outpatient service in order to figure out the mid and long term results of the practice.
A room equipped with everything needed to perform microsurgery training on rats, under the guide of experienced staff surgeons is available for the fellow in a small building next to the hospital.
To complete the fellowship a practical examination in microsurgery is needed, that consists in performing a functioning femoral artery anastomosis.
I recommend this international fellowship to anyone who’s interested in hand surgery and wants to broaden their horizons in this field, into a frame of culture and efficiency.

Luigi Mingarelli
For further information, please contract below.
Phone: +81-493-23-1221
NOTICE: Fellowships program is now suspended until further notice.