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

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Author(s)
Seongwon LeeSangho OhDaegu Son
Keimyung Author(s)
Son, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Archives of Plastic Surgery
Issued Date
2020
Volume
47
Issue
6
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.
Keimyung Author(s)(Kor)
손대구
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
Source
https://www.e-aps.org/journal/view.php?number=3798
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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