Menü Kapat

Original Article

Questioning the use of tourniquets in carpal tunnel surgery and determining ideal level

Cengiz Aldemir, Fatih Duygun

   

Abstract
Our aim was to determine if tourniquet use was a requirement in CTS release surgery, by evaluating patients in which tourniquets were used at different levels and patients in which tourniquets were not used during surgery. A total of 48 patients were included in the study. Eighteen patients had bilateral carpal tunnel syndrome. In these patients, the surgery of one side was performed with a forearm tourniquet, while the other side was performed with the conventional upper arm tourniquet. Thirty patients underwent carpal tunnel release surgery without a tourniquet. The duration of surgery, heart rate, blood pressure, pain status (visual analogue scale) of all patients, and the blood loss of patients who underwent surgery without a tourniquet were recorded. When the tourniquet and no-tourniquet groups were compared, there were no significant differences in terms of pain and physiological response. However, patient satisfaction was higher in the no-tourniquet group while operation times were longer. We believe that the local anesthetic + epinephrine without tourniquet method is advantageous compared to the other methods.

Key words: Carpal tunnel syndrome, tourniquet

Med-Science. 2017; 6(4): 753-755

 
Medicine Science Vol:6 Issue:4 Year:2017 PP:614-792
Posted in Vol: 6 Issue: 4 Year: 2017 December pp: 614-792

Related Posts

%d blogcu bunu beğendi: