Clinical experience with the CO2 laser during carpal tunnel decompression

Area of Science:

• Minimally Invasive Surgery
• Neurosurgery
• Laser Technology in Medicine

Background:

• Scar tissue formation after traditional carpal tunnel release surgery can lead to persistent median nerve compression.
• Conventional steel scalpel methods may result in hypertrophic scarring, inflammation, and postoperative discomfort.

Purpose of the Study:

• To evaluate the efficacy and safety of carbon dioxide laser in carpal tunnel release.
• To compare laser surgery outcomes with traditional steel scalpel methods for carpal tunnel syndrome.

Main Methods:

• Forty-six patients with carpal tunnel syndrome underwent transverse carpal ligament release using a carbon dioxide laser.
• The laser was used to vaporize the ligament and seal its edges, minimizing bleeding and tissue trauma.
• Patients were monitored for intraoperative complications and post-operative outcomes at regular intervals up to two years.

Main Results:

• No intraoperative complications were reported during the laser-assisted carpal tunnel release.
• Patients experienced minimal postoperative pain, rapid improvement in sensory function, and enhanced motor control.
• A significant reduction in paresthesia and no recurrent median nerve compression symptoms were observed after two years.

Conclusions:

• Carbon dioxide laser is a safe and effective tool for carpal tunnel release, offering advantages over steel scalpels.
• Laser surgery promotes reduced scarring, less inflammation, and improved patient recovery, leading to long-term symptom relief.
• This technique presents a promising alternative for managing carpal tunnel syndrome, minimizing the risk of re-compression.