ArticleRevista brasileira de ortopedia
Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia.
Article in Revista brasileira de ortopedia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 14 citations in OpenAlex.
- IMPLEMENTATION OF WALANT ANESTHESIA FOR HAND AND WRIST SURGERIES IN A TERTIARY HOSPITAL: PILOT STUDY.Acta ortopedica brasileira · 2025Article
- Prospective analysis of grip strength and load distribution after surgical treatment of common diseases of the hand with novel's manugraphyArchives of orthopaedic and trauma surgery · 2023Article
- Ultrasound-Guided WALANT Technique in Carpal Tunnel Decompression Surgery.Revista brasileira de ortopedia · 2023Article
- Combined distal median nerve block and local anesthesia with lidocaine:epinephrine for carpal tunnel release.Heliyon · 2022Article
- Treatment of hand infections using WALANT -when the anesthesiologist is not available: A retrospective cohort study.Annals of medicine and surgery (2012) · 2021Article
- Carpal Tunnel Syndrome: Retrospective Analysis of 60 Consecutive Cases of Ambulatory Surgical Treatment With Local Anesthesia.Hand (New York, N.Y.) · 2020Article
- 488 hand surgeries with local anesthesia with epinephrine, without a tourniquet, without sedation, and without an anesthesiologist.Revista brasileira de ortopediaArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the results and complications from surgical treatment of carpal tunnel syndrome by means of an open route, using a local anesthesia technique comprising use of a solution of lidocaine, epinephrine and sodium bicarbonate. MATERIAL AND
methodsThis was a cohort study conducted through evaluating the medical files of 16 patients who underwent open surgery to treat carpal tunnel syndrome, with use of local anesthesia consisting of 20 mL of 1% lidocaine, adrenaline at 1:100,000 and 2 mL of sodium bicarbonate. The DASH scores before the operation and six months after the operation were evaluated. Comparisons were made regarding the intensity of pain at the time of applying the anesthetic and during the surgical procedure, and in relation to other types of procedure.
resultsThe DASH score improved from 65.17 to 16.53 six months after the operation (p < 0.01). In relation to the anesthesia, 75% of the patients reported that this technique was better than or the same as venous puncture and 81% reported that it was better than a dental procedure. Intraoperative pain occurred in two cases. There were no occurrences of ischemia.
conclusionUse of local anesthesia for surgically treating carpal tunnel syndrome is effective for performing the procedure and for the final result.
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