A Comparative study of postoperative pain after open versus endoscopic carpel tunnel release at tertiary health care centre
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 7, Issue 3
Abstract
Background: The carpal tunnel syndrome (CTS) is a common problem since half of century. Carpal tunnel syndrome (CTS) is caused by compression of the median nerve at the wrist resulting in hand numbness, loss of dexterity, muscle wasting and decreased functional ability at work. Aims and Objectives: To study postoperative pain after open versus endoscopic carpel tunnel release at tertiary health care centre. Methodology: After approval from institutional ethical committee this cross-sectional study was carried out in the department of Orthopedics during the one year period i.e. January 2017 to January 2018, in the patients with carpel tunnel syndrome. All the records of patients which were treated either by open or endoscopic method were retrieved and the 30 patients treated by endoscopic method and 30 patient treated by open method were studied randomly. All details of the patients like age , sex, pain in the patients was assessed on 1st , 2nd , 3rd , 4th , 5th and 6th post operative day was assessed by Visual analogue scale score was studied . The statistical analysis was done by unpaired t-test and Chi-square test calculated by SPSS 19 version software. Result : average age Yrs. of Endoscopic Surgery Group was 45 ± 3.54 and Open Surgery Group was 46 ± 4.32 Yrs. and no of Male and Female were comparable in both the groups ( t=1.21,=df=58,p>0.05) and (χ2=0.277,df=1,p>0.05) respectively. The Pain measured by VAS score was significantly higher in the open surgery group as compared to Endoscopic Surgery Group i.e. 3.42 ± 2.1 and 6.13 ± 3.42 (t=3.69,df=58,p<0.005); 2.1± 3.12 and 5.23± 2.92 (t=4.92,df=58,p<0.001); 1.92 ± 2.23 and 3.76± 2.61 (t=5.21,df=58,p<0.001); 1.32± 1.98 and 3.52±1.39 (t=3.12,df=58,p<0.01) ; 1.12± 1.62 and 2.92 ± 2.54 (t=5.97,df=58,p<0.001); 0.92 ± 0.43 and 2.12 ± 1.73 (t=4.47,df=58,p<0.001) respectively in Endoscopic Surgery Group and Open Surgery Group. Conclusion: It can be concluded from our study that that the post operative pain was significantly higher in the Open Surgery Group as compared to Endoscopic Surgery Group so the pain Endoscopic surgery is a better option as compared open surgery.
Authors and Affiliations
Rajkumar Indrasen Suryawanshi
Keywords
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