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Related Experiment Video

Updated: Aug 20, 2025

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis
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Current Evidence Involving WALANT Surgery.

Katherine M Connors1, Sara M Guerra2, Steven M Koehler3

  • 1SUNY Downstate Medical Center, Department of Orthopaedic Surgery, Brooklyn, NY.

Journal of Hand Surgery Global Online
|November 24, 2022
PubMed
Summary
This summary is machine-generated.

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Hand (New York, N.Y.)·2026

Wide-awake local anesthesia no-tourniquet (WALANT) surgery offers a cost-effective and safe alternative for hand procedures. This method reduces patient anxiety and postoperative pain while maintaining surgical site sterility.

Area of Science:

  • Orthopedic Surgery
  • Anesthesiology

Background:

  • Wide-awake local anesthesia no-tourniquet (WALANT) surgery is a resource-efficient alternative for hand surgeons.
  • It reduces reliance on traditional operating room infrastructure.

Purpose of the Study:

  • To evaluate the efficacy and patient experience of WALANT surgery.
  • To compare WALANT with general or local anesthesia with tourniquet.

Main Methods:

  • Assessed surgical field sterility with limited prepping/draping.
  • Monitored patient anxiety levels.
  • Quantified postoperative narcotic use.
  • Calculated cost-effectiveness.

Main Results:

  • WALANT demonstrated comparable or superior sterility to standard methods.
Keywords:
Field sterilityLidocaine with epinepherineLocal anesthesiaWALANTWALEvidenceWide-awakeANT

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  • Patient anxiety was similar or lower compared to other anesthetic techniques.
  • Postoperative narcotic consumption was reduced or unchanged.
  • Significant cost savings were observed with WALANT surgery.

    • Conclusions:

    • WALANT surgery is a safe, effective, and cost-saving anesthetic option for hand procedures.
    • It offers benefits in terms of patient comfort and resource utilization.