Procedural Technique for Wide Awake Local Anesthesia No Tourniquet Injection for Endoscopic Carpal Tunnel Release

Area of Science:

• Orthopedics
• Neurosurgery
• Hand Surgery

Background:

• Carpal tunnel syndrome (CTS) is a prevalent upper extremity peripheral neuropathy.
• Current treatments include conservative measures and surgical carpal tunnel release (CTR).
• CTR can be performed via open (OCTR) or endoscopic (ECTR) techniques, with no clear consensus on superiority.

Purpose of the Study:

• To detail the surgical technique for a wide awake, local anesthesia, no tourniquet endoscopic carpal tunnel release (ECTR).
• To present an office-based setting approach for ECTR.
• To highlight the potential for decreased operating room demand and cost savings.

Main Methods:

• Description of the surgical technique for wide awake, local anesthesia, no tourniquet ECTR.
• Procedure performed in an office-based setting.
• Focus on releasing the transverse carpal ligament to alleviate median nerve compression.

Main Results:

• The article details a specific surgical technique for ECTR.
• The described method is suitable for an office-based setting.
• Potential benefits include reduced operating room utilization and lower procedural costs.

Conclusions:

• Wide awake, local anesthesia, no tourniquet ECTR is a viable surgical option.
• Performing ECTR in an office setting may offer advantages in cost and accessibility.
• This technique could help alleviate constraints related to surgeon preference, facility access, and cost.