Effect of tourniquet in minor hand surgery on perioperative pain and short-term clinical outcomes: a randomized controlled trial

Roo, Saskia de; Leeuwen, Wessel van; Heijden, Brigitte van der

doi:10.1177/17531934211051653

Cited by 1 publication

(7 citation statements)

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“…The CTR (open procedure with a mini-incision) and TFR (horizontal V-shaped incision) were performed in an outpatient clinic by either a surgeon specialist (expertise level 5) or surgical trainee under supervision (level 1). 15 Conditions (preparation, induction, and anesthesia mixture) were previously described in our recently published study 12 and were similar in both study groups, except for the use of the tourniquet. The anesthesia mixture used was 1% lidocaine with 1:200 000 epinephrine.…”

Section: Operative Proceduresmentioning

confidence: 99%

“…The mean intraoperative time (12 minutes) for both study arms and pain (injection, tourniquet, and overall pain) has been described in our previous article as well. 12…”

Section: Operative Proceduresmentioning

confidence: 99%

“…12 In addition, we have demonstrated that even in minor hand surgery of short duration, patients experienced tourniquet use as painful as the injection with local anesthesia. 12…”

Section: Introductionmentioning

confidence: 97%

“…12 In addition, we have demonstrated that even in minor hand surgery of short duration, patients experienced tourniquet use as painful as the injection with local anesthesia. 12 The effect of tourniquet use on clinical outcome in minor hand surgery is hardly known. The primary aim of this study was to assess the effect of tourniquet use versus no-tourniquet use on patient-reported outcomes 1 year after CTR or TFR.…”

Section: Introductionmentioning

confidence: 97%

“…However, in a previous study, we showed that there is no difference in operation time and short-term complications between minor hand surgical procedures performed with or without a tourniquet. 12 In addition, we have demonstrated that even in minor hand surgery of short duration, patients experienced tourniquet use as painful as the injection with local anesthesia. 12 The effect of tourniquet use on clinical outcome in minor hand surgery is hardly known.…”

Section: Introductionmentioning

confidence: 97%

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Tourniquet Does Not Affect Long-term Outcomes in Minor Hand Surgery: A Randomized Controlled Trial

Roo

Teunissen

Rutten

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Surgeons often prefer to use a tourniquet during minor procedures, such as carpal tunnel release (CTR) or trigger finger release (TFR). Besides the possible discomfort for the patient, the effect of tourniquet use on long-term results and complications is unknown. Our primary aim was to compare the patient-reported outcomes 1 year after CTR or TFR under local anesthesia with or without tourniquet. Secondary outcomes included satisfaction, sonographically estimated scar tissue thickness after CTR‚ and postoperative complications. Methods: Between May 2019 and May 2020, 163 patients planned for open CTR or TFR under local anesthesia were included. Before surgery, and at 3, 6, and 12 months postoperatively, Quick Disabilities of the Arm, Shoulder and Hand and Boston Carpal Tunnel questionnaires were administered, and complications were noted. At 6 months postoperatively, an ultrasound was conducted to determine the thickness of scar tissue in the region of median nerve. Results: A total of 142 patients (51 men [38%]) were included. The Quick Disabilities of the Arm, Shoulder and Hand questionnaire and Boston Carpal Tunnel Questionnaire scores improved significantly in both groups during follow-up, wherein most improvements were seen in the first 3 months. No difference in clinical outcome and scar tissue formation was found between the two groups after 12 months. The complication rate was comparable between both groups. Thirty-two (24%) patients had at least one complication, none needed surgical interventions, and no recurrent symptoms were seen. Conclusions: Our study shows similar long-term clinical outcomes, formation of scar tissue, and complication rates for patients undergoing CTR or TFR with or without a tourniquet. Tourniquet usage should be based on shared decision-making.

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Section: Operative Proceduresmentioning

confidence: 99%

“…The mean intraoperative time (12 minutes) for both study arms and pain (injection, tourniquet, and overall pain) has been described in our previous article as well. 12…”

Section: Operative Proceduresmentioning

confidence: 99%

“…12 In addition, we have demonstrated that even in minor hand surgery of short duration, patients experienced tourniquet use as painful as the injection with local anesthesia. 12…”

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

See 3 more Smart Citations