Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Open carpal release using local anesthesia without a tourniquet: Does bleeding tendency affect the outcome?

  • Lee, Seongwon (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Oh, Sangho (W-Hospital) ;
  • Son, Daegu (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
  • Received : 2020.09.01
  • Accepted : 2020.10.04
  • Published : 2020.11.15
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Abstract

Background The aim of this study was to analyze the clinical results of minimal single palmar-incision carpal tunnel release without a tourniquet. Methods We 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. Results In 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. Conclusions Carpal 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.

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References

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