From wide awake surgery to office surgery.

Abstract

Wide-Awake Local Anesthesia with No Tourniquet shifted how we provide hand surgery and liberated us from anesthesia-related constraints. This change led to the realization that hand surgery can be done in the office setting as long as safety requirements are fulfilled. This review focuses on what we know about office surgery from safety, society, facility, patient, and surgeon perspectives, and looks at the barriers that impede further expansion.