A Acar, A B Acar, N Yılmaz, Ö Torun, A B Girgin, H B Çevik
{"title":"宽醒局麻无止血带技术与锁骨下臂丛阻滞在肘管减压手术中的比较。","authors":"A Acar, A B Acar, N Yılmaz, Ö Torun, A B Girgin, H B Çevik","doi":"10.1016/j.anplas.2025.08.001","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare the efficacy of the WALANT (WA) technique with the infraclavicular brachial plexus block (IBPB) in patients undergoing anterior transposition and decompression of the ulnar nerve.</p><p><strong>Methods: </strong>A total of 46 patients were included in this bicentric retrospective study. Twenty-two were in WA, 24 were in IBPB group. WA was done by a hand surgeon and IBPB was done by an anesthesiologist under ultrasonography guidance. The two groups were compared regarding demographic data, clinical results, and radiological outcomes.</p><p><strong>Results: </strong>Preoperative preparation time and hospital stay were shorter in the WA group. VAS values at the 1st, 6th and 72nd hours after surgery were lower in the WA group. Intraoperative VAS-A values were higher in the WALANT group. Postoperative VAS-A values at the 6th hour were lower in the WA group. Return to work time was shorter in the WA group.</p><p><strong>Conclusion: </strong>The WA technique in CuTS surgery is a method that can be easily applied, is safe and is not inferior to IBPB in terms of clinical results. WA shortens preoperative patient preparation time, pain, host stay, operating room usage and return to work time after CuTS surgery.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.5000,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of WALANT (Wide Awake Local Anesthesia Without Tourniquet) technique and infraclavicular brachial plexus block in cubital tunnel decompression surgery.\",\"authors\":\"A Acar, A B Acar, N Yılmaz, Ö Torun, A B Girgin, H B Çevik\",\"doi\":\"10.1016/j.anplas.2025.08.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study aimed to compare the efficacy of the WALANT (WA) technique with the infraclavicular brachial plexus block (IBPB) in patients undergoing anterior transposition and decompression of the ulnar nerve.</p><p><strong>Methods: </strong>A total of 46 patients were included in this bicentric retrospective study. Twenty-two were in WA, 24 were in IBPB group. WA was done by a hand surgeon and IBPB was done by an anesthesiologist under ultrasonography guidance. The two groups were compared regarding demographic data, clinical results, and radiological outcomes.</p><p><strong>Results: </strong>Preoperative preparation time and hospital stay were shorter in the WA group. VAS values at the 1st, 6th and 72nd hours after surgery were lower in the WA group. Intraoperative VAS-A values were higher in the WALANT group. Postoperative VAS-A values at the 6th hour were lower in the WA group. Return to work time was shorter in the WA group.</p><p><strong>Conclusion: </strong>The WA technique in CuTS surgery is a method that can be easily applied, is safe and is not inferior to IBPB in terms of clinical results. WA shortens preoperative patient preparation time, pain, host stay, operating room usage and return to work time after CuTS surgery.</p>\",\"PeriodicalId\":55512,\"journal\":{\"name\":\"Annales De Chirurgie Plastique Esthetique\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2025-10-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annales De Chirurgie Plastique Esthetique\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.anplas.2025.08.001\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annales De Chirurgie Plastique Esthetique","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.anplas.2025.08.001","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
Comparison of WALANT (Wide Awake Local Anesthesia Without Tourniquet) technique and infraclavicular brachial plexus block in cubital tunnel decompression surgery.
Purpose: This study aimed to compare the efficacy of the WALANT (WA) technique with the infraclavicular brachial plexus block (IBPB) in patients undergoing anterior transposition and decompression of the ulnar nerve.
Methods: A total of 46 patients were included in this bicentric retrospective study. Twenty-two were in WA, 24 were in IBPB group. WA was done by a hand surgeon and IBPB was done by an anesthesiologist under ultrasonography guidance. The two groups were compared regarding demographic data, clinical results, and radiological outcomes.
Results: Preoperative preparation time and hospital stay were shorter in the WA group. VAS values at the 1st, 6th and 72nd hours after surgery were lower in the WA group. Intraoperative VAS-A values were higher in the WALANT group. Postoperative VAS-A values at the 6th hour were lower in the WA group. Return to work time was shorter in the WA group.
Conclusion: The WA technique in CuTS surgery is a method that can be easily applied, is safe and is not inferior to IBPB in terms of clinical results. WA shortens preoperative patient preparation time, pain, host stay, operating room usage and return to work time after CuTS surgery.
期刊介绍：
Qu''elle soit réparatrice après un traumatisme, pratiquée à la suite d''une malformation ou motivée par la gêne psychologique dans la vie du patient, la chirurgie plastique et esthétique touche toutes les parties du corps humain et concerne une large communauté de chirurgiens spécialisés.
Organe de la Société française de chirurgie plastique reconstructrice et esthétique, la revue publie 6 fois par an des éditoriaux, des mémoires originaux, des notes techniques, des faits cliniques, des actualités chirurgicales, des revues générales, des notes brèves, des lettres à la rédaction.
Sont également présentés des analyses d''articles et d''ouvrages, des comptes rendus de colloques, des informations professionnelles et un agenda des manifestations de la spécialité.
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