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Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
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Should aspirin be stopped before carpal tunnel surgery? A prospective study
Stefania Brunetti1, Gianfranco John Petri, Stefano Lucchina
1Stefania Brunetti, Gianfranco John Petri, Stefano Lucchina, Guido Garavaglia, Cesare Fusetti, Hand Surgery Unit, Department of Orthopaedics and Trauma Surgery, Ospedale Regionale Bellinzona e Valli, 6500 Bellinzona, Switzerland.
World Journal of Orthopedics
|October 23, 2013
Summary
Continuing aspirin therapy during carpal tunnel release surgery does not increase complication risks. Good surgical techniques mean patients can avoid stopping aspirin before carpal tunnel release.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Anesthesiology
Background:
- Carpal tunnel release (CTR) is a common surgical procedure.
- Aspirin is frequently used for its antiplatelet effects, but its use perioperatively requires careful consideration due to bleeding risks.
Purpose of the Study:
- To investigate the impact of continuing aspirin therapy on complication rates following carpal tunnel release surgery.
Main Methods:
- A prospective study involving 150 patients undergoing open CTR.
- Patients were divided into three groups: continuous aspirin, stopped aspirin, and no aspirin (control).
- Complications, including local (hematomas, wound dehiscence) and cardio-cerebrovascular events, were meticulously recorded and analyzed.
Main Results:
- No significant difference in overall complication incidence was observed between the three groups.
- Two major complications occurred (one in the continuous aspirin group, one in the control group).
- All hematomas resolved spontaneously without affecting hand function or requiring specific treatment.
Conclusions:
- Continuation of aspirin therapy is safe and does not elevate the risk of complications in carpal tunnel release.
- Discontinuation of aspirin is unnecessary for patients undergoing CTR when employing sound surgical techniques.
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