Experience of carpal tunnel syndrome that operated using limited uni skin incision

Işik, Hasan Serdar; Bostancı, Uğur

doi:10.5137/1019-5149.jtn.3246-10.2

Cited by 11 publications

(19 citation statements)

References 16 publications

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“…Isik et al (2) reported that they achieved pain-numbing control and reduced scarring problems by applying microsurgical mini-incision proximal to the curvature of the distal flexion, which is finer than the skin, as in our study. Of the patients in our study, 86.4% reported complete/significant improvement in their complaints, while 88% were satisfied with the operation.…”

Section: Discussionmentioning

confidence: 51%

“…The recurrent thenar branch of the median nerve is also at risk for possible anatomical variations. In addition, palmar arteries, especially the superficial palmar arc, may be injured (2,9). No damage to these structures occurred in any of the patients in our study.…”

Section: Discussionmentioning

confidence: 69%

“…This safe and effective procedure' s complications especially in the late period, such as scar sensitivity, pain, hypertrophic scar formation, sympathetic dystrophy, which reduce patient comfort and quality of hand use are well known (2,3,7,11). Various incision techniques and instruments have been used in recent years to prevent these complications (1-3,6,8-10,12).…”

Section: Discussionmentioning

confidence: 99%

“…Today, open carpal tunnel release with standard long curvilinear incision is the method of choice for most surgeons (1)(2)(3)6). Disadvantages of standard incision include incisional pain, scar tenderness, cosmetic problems, and reduced hand function (1,2,7,8). Alteratively, various surgical methods such as limited incision, endoscopic techniques have been described (1,2,9,10).…”

Section: Introductionmentioning

confidence: 99%

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Carpal Tunnel Release Experience with Minimal Wrist Incision

Kale

2018

GMJ

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Objective: Carpal tunnel syndrome (CTS) is the most common peripheral trap neuropathy resulting from compression of the median nerve in the carpal tunnel of the wrist. Open release of the transverse carpal ligament is now the most commonly used method. New techniques are being developed to avoid complications of standard long curvilinear incision. Methods: Between March 2010 and January 2016, carpal tunnel release was performed by the same surgeon with 110 minimally invasive techniques in 96 patients due to CTS. Complaints and physical examination findings were compatible with CTS and mid-to severe-severity CTS cases supported by EMG were included in the study. Results: Complaints and examination findings were recorded at the postoperative 1 st year outpatient clinics of the patients. Of the110 carpal tunnel release, in 50 patients (%45,5) total, in 45 patients (%40.9) significant, in 13 patients (%11,8) slight improvement were recorded, while no improvement was recorded in 2 patients (%1,8). They stated that 88% of the patients were satisfied with the operation and 12% were not satisfied. Visual Analog Scale (VAS) was used to evaluate pain complaints. The mean VAS score was 7,5 preoperatively and 3,2 at post-operatively 1 year follow-up. Conclusion: In patients with CTS, median nerve decompression with minimal wrist incision is an effective and reliable surgical procedure.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Carpal Tunnel Release Experience with Minimal Wrist Incision

Kale

2018

GMJ

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“…This traditional approach also carries the risk of pillar pain and painful hypertrophic scar formation. These risks led us to explore different types of the incision with which to perform the open surgery (Figure 4A–4D) [15,17,18,20]. For example, a small palmar incision has been used to overcome these complications (Figure 4D) [11,20], and its use achieved good clinical results, but the risk of injury to the MN cannot be ignored.…”

Section: Discussionmentioning

confidence: 99%

Semivertical Incision: An Aesthetically and Electrophysiologically Effective Mini-Incision Technique for Carpal Tunnel Decompression

Keser

Dörtcan²,

Çıkla

et al. 2017

Med Sci Monit

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BackgroundThe purpose of this study was to present the clinical results of our retrospective series of carpal tunnel release (CTR) operations. For these operations we used a unique type of incision, for the first time, for treatment of carpal tunnel syndrome (CTS) consisting of a 1-cm semi-vertical (SV) incision made into the wrist crease for macroscopic open CTR.Material/MethodsThis retrospective study included 114 patients (101 females and 13 males) with CTR who were operated upon in our neurosurgery clinic between December 2010 and June 2015. Patient ages ranged from 35 to 83 years (mean 55.05±12.04 years). In total, 127 hands (73 right and 54 left) were operated upon using the SV skin incision technique. After an average follow-up of 18 months (ranging from 6 to 30 months), clinical and electrophysiological (EP) evaluations were performed.ResultsA review of the English language literature published since 1957, when Phalen first popularised the diagnosis and treatment of this disease, determined that no previous reports of the mini-open incision technique as described in our study have been published. In our retrospective patient case review, we found that after operations using the SV incision technique, statistically significant differences were detected in electromyography (EMG) improvements (p<0.01). In addition, patients who showed improvement in EMG studies (n=90) were satisfied with the result of their surgery.ConclusionsOur study demonstrated that 1-cm skin SV incision was a cosmetically satisfying, fast, and safe approach to CTR that was not only clinically effective but also electrophysiologically effective.

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Comparing open conventional carpal tunnel release with mini-incision technique in the treatment of carpal tunnel syndrome: A non-randomized clinical trial

Khoshnevis

Layegh

Yavari

et al. 2020

Annals of Medicine and Surgery

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Experience of carpal tunnel syndrome that operated using limited uni skin incision

Abstract: The limited uni skin incision is a safe and effective minimal invasive procedure for releasing the carpal tunnel.

Cited by 11 publications

References 16 publications

Carpal Tunnel Release Experience with Minimal Wrist Incision

Carpal Tunnel Release Experience with Minimal Wrist Incision

Semivertical Incision: An Aesthetically and Electrophysiologically Effective Mini-Incision Technique for Carpal Tunnel Decompression

Comparing open conventional carpal tunnel release with mini-incision technique in the treatment of carpal tunnel syndrome: A non-randomized clinical trial

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