Symptom Outcome of Walant Technique for Carpal Tunnel Release – A Prospective Study in the Tertiary Care Hospital, Nowshera

Authors

  • Naseer Hassan Nowshera Medical College, Nowshera
  • Raza Hassan Northwest General Hospital and Research Center, Peshawar
  • Muhammad Usman Fazaia Medical College, PAF Hospital, Islamabad
  • Farooq Azam Lady Reading Hospital, Peshawar
  • Hamayun Tahir Nowshera Medical College, Nowshera
  • Zahid Irfan Marwat Nowshera Medical College, Nowshera
  • Momina Saleem Khyber College of Dentistry, Peshawar

DOI:

https://doi.org/10.37762/jgmds.10-2.403

Keywords:

Wound Infection, Dehiscence Outcome, Anaesthesia, Tourniquet

Abstract

OBJECTIVES

The study aims to determine the outcome of the WALANT technique for Carpal Tunnel Release CTR.

METHODOLOGY

A descriptive study was done in the Neurosurgery department at Qazi Hussain Ahmad Medical Complex, Nowshera, from 15th September 2020 to 15th March 2021. A total of 29 consecutive patients of carpal tunnel syndrome (CTS) were undergoing carpal tunnel release (CTR) under wide awake local anaesthesia no tourniquet (WALANT) technique, using a mixture of lidocaine and epinephrine for local anaesthesia, and the outcome was assessed for patient satisfaction by Boston Carpal Tunnel Questionnaire (BCTQ) (symptom severity scales (SSS)) at pre-operatively and six weeks postoperatively.
RESULTS
Wide awake CTR was done in 29 patients; 86.2% were female and 13.8% male. The mean age was 47.3 years. The average time of return to daily activity was three weeks. No complications were noted, like wound infection and dehiscence. BCTQ symptom (BCTQ-S) score significantly improved at six weeks postoperatively. 86% significantly reduced the symptom severity score (SSS). Mean SSS improved from preoperative 3.2 points to 1.7 points postoperatively. There was a significant decrease in distal latencies (p <0.01). 
 
CONCLUSION

Wide awake surgery is an excellent technique with favourable outcomes and good satisfaction rates for CTR. The study shows that clinical symptoms resolve rapidly after CTR. Without the need for monitored anaesthesia, the cost could decrease dramatically.

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Author Biographies

Naseer Hassan, Nowshera Medical College, Nowshera

Associate Professor/Head of Neurosurgery Department,
Nowshera Medical College, Nowshera

Raza Hassan, Northwest General Hospital and Research Center, Peshawar

Assistant Professor,
Orthopedic Department,
Northwest General Hospital and Research Center, Peshawar

Muhammad Usman, Fazaia Medical College, PAF Hospital, Islamabad

Associate Professor,
Neurosurgery Department,
Fazaia Medical College, PAF Hospital, Islamabad

Farooq Azam, Lady Reading Hospital, Peshawar

Professor,
Neurosurgery Department,
Lady Reading Hospital, Peshawar

Hamayun Tahir, Nowshera Medical College, Nowshera

Assistant Professor,
Neurosurgery Department,
Nowshera Medical College, Nowshera

Zahid Irfan Marwat, Nowshera Medical College, Nowshera

Professor,
Biochemistry Department,
Nowshera Medical College, Nowshera

Momina Saleem, Khyber College of Dentistry, Peshawar

Trainee Medical Officer,
Departments of Orthodontics,
Khyber College of Dentistry, Peshawar

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Published

2023-04-01

How to Cite

Hassan, N., Hassan, R. ., Usman, M. ., Azam, F. ., Tahir, H. ., Marwat, Z. I., & Saleem, M. . (2023). Symptom Outcome of Walant Technique for Carpal Tunnel Release – A Prospective Study in the Tertiary Care Hospital, Nowshera. Journal of Gandhara Medical and Dental Science, 10(2), 57–61. https://doi.org/10.37762/jgmds.10-2.403

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