Open carpal release using local anesthesia without a tourniquet: Does bleeding tendency affect the outcome?

Archives of Plastic Surgery

卷:47

Seongwon Lee¹  Daegu Son¹  Sangho Oh² 

[1] Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea;

[2] W-Hospital, Daegu, Korea;

关键词: carpal tunnel syndrome;    median nerve;    nerve compression syndrome;    hand;    tourniquet;   

DOI  :  10.5999/aps.2020.01732

来源: DOAJ

【 摘 要 】

BackgroundThe aim of this study was to analyze the clinical results of minimal single palmar-incision carpal tunnel release without a tourniquet. MethodsWe reviewed the medical records of 75 patients (90 cases of carpal tunnel syndrome) who underwent minimal single-palmar incision carpal tunnel release without a tourniquet from June 2010 to January 2018. Ten patients had a bleeding tendency. We compared the preoperative and postoperative Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) scores. We also analyzed outcomes and complications according to the presence of a bleeding tendency. ResultsIn all cases, there was a complete disappearance or marked improvement in symptoms within 6 months, with no recurrence. The postoperative BCTQ score showed a significant improvement compared to the preoperative score, and no statistically significant difference in BCTQ scores was detected according to the presence of a bleeding tendency. ConclusionsCarpal tunnel release without a tourniquet using a minimal single palmar incision is effective and reliable. This technique prevents unnecessary pain associated with the tourniquet and is especially helpful in patients with a bleeding tendency or those treated with hemodialysis.

【 授权许可】

Unknown