Comparison of Wide Awake Local Anaesthesia No Tourniquet Technique with Tourniquet Application under General Anesthesia in Carpal Tunnel Syndrome: A Retrospective Study
Journal Title: European Archives of Medical Research - Year 2019, Vol 35, Issue 4
Abstract
Objective: Carpal tunnel syndrome is a common complaint in orthopedic practice and usually treated with surgical intervention. The aim of the study was to compare wide awake local anesthesia no tourniquet (WALANT) technique with general anesthesia and arm tourniquet in Carpal tunnel cases. Methods: Fifty-two patients who underwent surgery for Carpal tunnel syndrome were retrospectively divided into two groups as WALANT technique (Group W) and general anesthesia with arm tourniquet (Group G). In addition to the demographic data, visual analog scale (VAS), opioid consumption, early complications, duration of stay in operating room (DSOR) and first analgesic need time were evaluated. Results: When both groups were evaluated, early postoperative VAS scores, opioid consumption and DSOR were significantly lower in Group W than in Group G. Conclusion: In conclusion, WALANT technique was associated with reduced early postoperative pain, lower DSOR and opioid consumption compared to general anesthesia with tourniquet method for carpal tunnel release.
Authors and Affiliations
Mustafa Çağlar Kır, Mehmet Kürşad Bayraktar, Hakan Gürbüz
The Effect of Maternal Obesity on Perinatal and Neonatal Outcomes
Objective: To investigate the relationship between maternal obesity and perinatal and neonatal outcomes in primigravid pregnant women. Methods: A total of 162 primigravid pregnant women were categorized into four groups...
Non-urothelial Bladder Cancers: Single Center Experience
Objective: Bladder cancers are classified into two groups as urothelial and non-urothelial cancer (NUBC). In this study, we investigated the clinicopathological features and treatment responses in patients with NUBC who...
Total Aortic Occlusion: A Rare Cause of Paraplegia
Total aortic occlusion is a rare disease and may lead to catastrophic outcomes. Although it can be acute or subacute, mortality or morbidity is high if early intervention is not performed. In this report, we described th...
Sarcomatoid Carcinoma of the Urinary Bladder: A Case Report and Review of the Literature
Sarcomatoid variant of urothelial carcinoma of the urinary bladder is a rare malignant neoplasm, which is defined with biphasic neoplasm with both an epithelial and a mesenchymal component by histopathological and immuno...
Idiopathic Scrotal Calcinosis: A Review of the Literature with Seven Cases
Objective: Scrotal calcinosis is a rare benign disease characterized by calcified nodules on the scrotum skin. In this article, seven patients who were diagnosed as idiopathic scrotal calcinosis were reviewed with the re...