Results of carpal tunnel decompression operations with minimal incision under regional anesthesia of the wrist
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Medeniyet Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu yayında üç farklı merkezde 2000-2004 yılları arasınd açık karpal tünel dekompresyon operasyonu modifiye edilerek klasik el bileği çizgisini geçmeden mini insizyon kullanılarak yapıldığı çalışma serisi sunulmuştur. Tüm vakalarda el bileği bölgesel anestezisi kullanılmıştır. Yaş ortalaması 41 (22-54) olan; 52 hastanın (26 kadın, 6 erkek) 62 adet el bileğine; el bileği bölgesel anestezisi altında ve pnömatik turnike kullanılarak 2-2.5 cm’lik el ayasından yapılan insizyon ile girilmiştir. Direkt görüş altında ligamanın distal kısmı kesilmiştir. Ligamanın proksimal kısmı ve antebrakial fasya derin palmar apanevroz, subkutan yağ dokusundan ayrıldıktan sonra künt bir makas kullanılarak gevşetilmiştir. Karpal tünelin gevşetilmesini takiben katlar kapatılmış ve kompresif bandaj uygulanmıştır. Aynı gün kompresif bandaj çözülmüş; günlük aktivitelere izin verilmiştir. Ameliyat sonrası 16-26 ay (ortalama 21 ay) takiplerinde tekrarlayan şikayetlerinin olmadığı hastaların yöntemden memnun kaldığı tespit edilmiştir. El bileği anestezisi ve minimal insizyon ile karpal tünel gevşetme operasyonları hastanede kalış periyodu kısaltılarak, güvenli şekilde karpal tünel gevşetme olanağı sağlayan hasta konforunu artıran bir yöntemdir.
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.
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.
Açıklama
Anahtar Kelimeler
Karpal tünel, Median sinir, Minimal insizyon, Bölgesel anestezi, Carpal tunnel, Median nerve, Minimal incision, Regional anesthesia
Kaynak
Göztepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
26
Sayı
1
Künye
Özçelik, İ.B., Çift, H., Özkan, K. vd. (2011). Results of carpal tunnel decompression operations with minimal incision under regional anesthesia of the wrist / El bileği bölgesel anestezisi altında minimal insizyon ile karpal tünel sendromu gevşetme operasyonu sonuçları. Göztepe Tıp Dergisi, Medeniyet Üniversitesi. 26(1), s. 10-13.
