Results of carpal tunnel decompression operations with minimal incision under regional anesthesia of the wrist

 SUMMARY

With this paper, we presented our study series on modified open carpal tunnel decompression operation with mini incisi­on, not crossing the wrist line, performed in three centers bet­ween 2000-2004. Regional wrist anesthesia was used in all patients. The operation was carried out via a 2-2.5 cm incision made on the palm in 62 wrists of 52 patients (46 females and 6 males), with a mean age of 41 years (22-54 years), under regi­onal wrist anesthesia and using pneumatic tourniquet. Under direct sight, distal portion of the ligament was sectioned. Proximal portion of the ligament and the antebrachial fascia were released by a blunt dissection once they were separated from the palmar aponeurosis and the subcutaneous adipose tissue. Following the decompression of the carpal tunnel, the layers were closed and compression bandage was applied. Compression bandage was removed on the same day and pati­ents were allowed for daily activities. During postoperative follow-up visits (Mean: 21 months, range: 16-26 months) none of the patients reported recurrence of complaints and all were satisfied with the technique. Carpal tunnel decompression with mini incision and wrist anesthesia is a method that provides safe release of the median nerve, shortens hospitalization peri­od and increases patient comfort.

Key words: Carpal tunnel, Median nerve, Minimal incision, Regional anesthesia