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Practice in Wide-Awake Hand Surgery: Differences Between United Kingdom and Cyprus.

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The wide-awake local anesthetic no tourniquet (WALANT) approach offers significant cost savings and shorter waiting times for hand surgery. Patient education is key to high satisfaction and improved surgical outcomes.

Keywords:
AdrenalineHand surgeryLidocaineLocal anesthesiaTourniquetWALANTWide-awake surgery

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Anesthesiology

Background:

  • The wide-awake local anesthetic no tourniquet (WALANT) approach is increasingly adopted in surgical procedures.
  • Previous studies highlight its benefits in specific healthcare systems.

Purpose of the Study:

  • To evaluate the impact of WALANT implementation on cost savings, waiting times, and patient satisfaction in Cyprus and the United Kingdom.
  • To emphasize the role of patient education in the success of WALANT procedures.

Main Methods:

  • Comparative analysis of surgical outcomes and healthcare economics before and after WALANT implementation.
  • Review of patient satisfaction surveys and waiting list data.
  • Assessment of patient education protocols for WALANT surgery.

Main Results:

  • WALANT implementation in Cyprus resulted in significant cost savings.
  • In the United Kingdom, WALANT led to reduced waiting times for hand surgery, National Health Service cost savings, and high patient satisfaction.
  • Effective patient education was identified as a crucial factor for successful WALANT adoption.

Conclusions:

  • The WALANT approach provides substantial economic benefits and improves efficiency in hand surgery.
  • Comprehensive patient education enhances satisfaction, strengthens the patient-surgeon relationship, and can positively influence surgical outcomes by enabling active patient participation.