Use of Tourniquet Under Sedation Anesthesia or the Walant Techniques in Bilateral Carpal Tunnel Surgery: A Comparative Analysis

Year 2023, Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 69 - 76, 19.10.2023

Mehmet Albayrak , Fatih Uğur

https://doi.org/10.37990/medr.1334832

Abstract

Aim: The objective of the study was to compare the outcomes and patient satisfaction of two different anesthesia techniques; wide-awake-local anesthesia-no tourniquet (WALANT) and sedation anesthesia with a tourniquet, in open carpal tunnel release surgery for bilateral cases.
Material and Methods: The study included 57 patients (41 female, 16 male) who underwent carpal tunnel release surgery between January 2016 and September 2021. The files were retrospectively evaluated and included in the present study. Patient evaluations were conducted using QuickDASH and Michigan Hand Outcomes Questionnaire scores before surgery, on the 15th day after suture removal, and at six months postoperatively. Surgical duration and complications were also recorded. Statistical analyses were performed to compare the outcomes between the two groups.
Results: Both QDash and MHQ scores were analyzed for anesthesia effects on hands. The study's reliability was ensured by an 85% statistical power, 95% confidence level, and p<0.05 significance. The results showed no significant differences in QuickDASH and Michigan Hand Outcomes Questionnaire scores between WALANT and sedation anesthesia Surgical duration was similar for sedation and WALANT groups. Patient preference was inconclusive, with comfort and symptom relief prioritized. Notably, neither group experienced complications like nerve injuries or infections.
Conclusion: The study found that both WALANT and sedation anesthesia with a tourniquet were equally effective and provided similar levels of patient comfort and satisfaction in open carpal tunnel release surgery. The choice between these techniques can be based on individual preferences and considerations.

Keywords

Carpal Tunnel Syndrome, Sedation, Tourniquet

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