Wide-awake local anaesthesia in bilateral endoscopic carpal tunnel release Surgery: An efficient ergonomic approach.

IF 0.3 Q4 SURGERY
Journal of Hand and Microsurgery Pub Date : 2025-04-25 eCollection Date: 2025-07-01 DOI:10.1016/j.jham.2025.100261
Sean Yao Zu Kong, Hong Yu Rin, Darryl Ee Ming Chew, Yong Chiang Kang
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引用次数: 0

Abstract

Endoscopic carpal tunnel release (ECTR) has advanced considerably since its introduction, providing a minimally invasive alternative to traditional open surgery for carpal tunnel syndrome. This review traces the history of ECTR, highlighting key advancements in techniques and variations. We compare the anatomical visualization between endoscopic and open approaches, particularly regarding nerve and tendon preservation. The role of Wide Awake Local Anaesthesia No Tourniquet (WALANT) in ECTR is discussed, with a focus on its benefits in reducing postoperative pain and recovery time. Additionally, we present our approach to bilateral ECTR, illustrated through pictorial representations, demonstrating the advantages of this technique. We conclude that bilateral ECTR not only accelerates overall recovery but also has the potential to reduce overall healthcare costs.

双侧内窥镜腕管释放手术中的全清醒局部麻醉:一种有效的人体工程学方法。
内窥镜腕管释放术(ECTR)自问世以来取得了长足的进步,为腕管综合征提供了传统开放手术的微创替代方法。这篇综述追溯了ECTR的历史,突出了技术和变体方面的关键进展。我们比较了内窥镜和开放入路的解剖可视化,特别是关于神经和肌腱的保存。广泛清醒局麻无止血带(WALANT)在ECTR中的作用进行了讨论,重点是其在减少术后疼痛和恢复时间的好处。此外,我们提出了双侧ECTR的方法,通过图形表示说明,展示了这种技术的优势。我们的结论是,双边ECTR不仅加速整体恢复,而且有可能降低整体医疗保健成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.00
自引率
25.00%
发文量
39
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