Siddalingamurthy G1, Channa Reddy H2, Sheshagiri3
BACKGROUND
Carpal tunnel syndrome is the entrapment neuropathy of the median nerve. It is more common in females than males, surgery is indicated when conservative treatment fails.
AIM OF THE STUDY
To assess the effectiveness of local anaesthesia and patient tolerance to the procedure to release the carpal tunnel completely.
PATIENTS AND METHODS
All cases of carpal tunnel syndrome with failed conservative treatment were included in the study over a period of 2 years. All cases were done under local anaesthesia using 1% lignocaine with adrenaline 1:100000. Local anesthesia was infiltrated subcutaneously as well as into the carpal tunnel. No tourniquet was used. All the patients were discharged on the same day.
RESULTS
Total number of cases included in the study were 30.There were 24 females and 6 males with 5 patients with bilateral affection with total of 35 wrists of 30 patients. Ninety percent (90%, n=27) of patients had no pain during surgery, Ninety three percent (93.3%, n=28) patients were satisfied with the procedure. No adverse events noted.
CONCLUSION
Open decompression of carpal tunnel under local anaesthesia with adrenaline without tourniquet is effective, safe, day care surgery and well tolerated by the patient with overall satisfaction rate of 93%.
