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

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Affiliated Author(s)
손대구
Alternative Author(s)
Son, Dae Gu
Journal Title
Archives of Plastic Surgery
ISSN
2234-6171
Issued Date
2020
Keyword
Carpal tunnel syndromeMedian nerveNerve compression syndromeHandTourniquet
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.
Department
Dept. of Plastic Surgery (성형외과학)
Publisher
School of Medicine (의과대학)
Citation
Seongwon Lee et al. (2020). Open carpal release using local anesthesia without a tourniquet: Does bleeding tendency affect the outcome? Archives of Plastic Surgery, 47(6), 597–603. doi: 10.5999/aps.2020.01732
Type
Article
ISSN
2234-6171
DOI
10.5999/aps.2020.01732
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42827
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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