Amongst various interventions for burns and inhalation injuries, hyperbaric oxygen therapy (HBOT) has recently been widely integrated as an adjunctive management of care due to its therapeutic properties in reducing tissue hypoxia, pathological inflammation, and augmenting neovascularization. However, the limitation of human clinical trials and data undermines its efficacy to be implemented as an adjunctive therapeutic modality in burns. The purpose of the literature review is to determine the efficacy of HBOT as an adjunct to standard management in burns. A review of the literature was done by searching PubMed, Cochrane, Medline, EMBASE, and Google Scholar for papers addressing the comparison of therapeutic outcomes between HBOT and non-HBOT in burns. Current research findings are conflicting, and the use of HBOT as an adjunct in burns management is still controversial. Therefore there is still a need for more data and research on the therapeutic benefits of HBOT in burn management.

Although the early benefits of endoscopic carpal tunnel release have been demonstrated, there is great controversy regarding the risks and safety of the technique. The present study reports early major complications in a series of 1278 consecutive cases performed by a single surgeon over a seven-year period. All procedures were performed under local anaesthesia on an outpatient basis using the Agee single portal technique. Mean follow-up was three months. No vascular, tendon or permanent nerve injuries were documented. Recurrent or persistent symptoms occurred in 7% of patients for which 20 of 89 underwent subsequent open carpal tunnel release. No nerve injuries were found on re-exploration. Other complications were consistent with previously reported incidences. This is the largest reported case series by a single surgeon and represents an accumulation of surgical experience at the upper end of the learning curve. Endoscopic carpal tunnel release is a safe procedure in this experienced single surgeon series.Key Words: Carpal tunnel syndrome; Complications; Endoscopy Complications majeures précoces de la libéra-tion endoscopique du nerf médian au niveau du canal carpien Bien que les bénéfices précoces de la libération endoscopique du nerf médian au niveau du canal carpien soient démontrés, il existe une grande controverse au sujet des risques et de l'innocuité de la technique. La présente étude fait état de complications majeures précoces dans une série de 1 278 cas consécutifs opérés par un seul chirurgien en l'espace de sept ans. Toutes les interventions ont été exécutées sous anesthésie locale en clinique externe au moyen de la technique portale unique d'Agee. Le suivi moyen était de trois mois. Aucune lésion vasculaire, tendineuse ou nerveuse permanente n'a été documentée. Des symptômes récurrents ou persistants se sont manifestés chez 7 % des patients, et 20 de ces 89 patients ont subi une libération ouverte du nerf médian au niveau du canal carpien. Aucune lésion nerveuse n'a été découverte au moment de la deuxième exploration. D'autres complications étaient compatibles avec des incidences déclarées auparavant. C'est la plus grande série de cas à être déclarée par un seul chirurgien, et elle représente une accumulation d'expérience clinique dans le haut de la courbe d'apprentissage. La libération endoscopique du nerf médian au niveau du canal carpien est une intervention sûre dans le cadre de cette série effectuée par un seul chirurgien expérimenté. O pen release of the transverse carpal ligament has been the surgical standard of care for median nerve decompression in carpal tunnel syndrome. With the advent of endoscopic surgical techniques and the significant morbidity of a large palmar incision associated with open carpal tunnel release (OCTR) techniques, endoscopic carpal tunnel release (ECTR) was introduced with the theoretical advantage of being much less invasive. By using a small incision and releasing only the transverse carpal ligament, median nerve decompression could be achieved without the morb...

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