The double tunnels technique: an alternative minimally invasive approach for carpal tunnel syndrome

Vanni, Daniele; Sirabella, Francesco Saverio; Galzio, Renato; Salini, Vincenzo; Magliani, Vincenzo

doi:10.3171/2014.11.jns14901

Cited by 10 publications

(8 citation statements)

References 34 publications

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“…Double tunnels technique, when under tissue-sparing approach, permit surgeons to restrict the incision (0.6 cm ± 0.05 cm), while care to the palmar fascia and the subcutaneous tissue were confirmed a safe and efficient approach for the treatment of CTS. This technique entails faster recovery times, better esthetic outcomes, and lower risks of complications for 12 months treatment evaluation [32]. Our results were confirm minimal decompression for CTS improve the results data, earlier return to the works and daily activities, and less chance of adverse effect than long classical incision.…”

Section: Resultssupporting

confidence: 76%

Prospective Comparative Analysis Study of Minimally Invasive Surgical Decompressions versus Traditional Surgical Decompression of Carpal Tunnel Syndrome

Alkhuzai

2022

Open Access Maced J Med Sci

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Objective: Carpal tunnel syndrome (CTS) occurs when there is compression on the median nerve within the carpal tunnel in the wrist joint. It commonly affects those who make frequent, repetitive hand movements, with women being more affected than men. The present study was aimed at comparing minimally invasive and classical surgical decompression techniques for carpal tunnel syndrome. Materials and Methods: One hundred and four patients with CTS who were scheduled for carpal tunnel decompression were chosen at random. The patients were divided into two groups. Group A had standard classical long incision decompression, whereas Group B had minimally invasive decompression. The patients were evaluated with the Boston Functional Score Scale. Between the two groups, a comparison of visit reports was made at 3, 6, and 12 months after surgery. Results: There was no significant difference in patient age (Group A was 38 years old and Group B was 36 years old) and availability of bilateral CTS status (A was 34 and B was 31). The female-male ratios in groups A and B were 3.6 to 0.2 and 3.1 to 0.3, respectively, with a p-value of p<0.05 indicating significant difference. Comparing both groups, the minimally invasive decompression technique showed a high rate of functional hand grip and a low rate of complications including early wound healing, rapid resumption of palmar strength grip, and rapid return to daily activities. Conclusion: The findings indicate that patients who underwent the minimally invasive surgical decompression one-stitch technique showed significant improvement over the traditional method.

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Section: Resultssupporting

confidence: 76%

Prospective Comparative Analysis Study of Minimally Invasive Surgical Decompressions versus Traditional Surgical Decompression of Carpal Tunnel Syndrome

Alkhuzai

2022

Open Access Maced J Med Sci

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“…It has been suggested in medical literature that the postoperative course after carpal tunnel syndrome surgery is seldom complicated by severe postoperative pain [10][11][12][13] . However, few studies analyzed pain incidence and postoperative pain control among patients undergoing carpal tunnel syndrome surgery 14 .…”

Section: Introductionmentioning

confidence: 99%

Postoperative Pain Management after Carpal Tunnel Syndrome Surgical Treatment: Comparing Practice with Guidelines

Utrobičić

Prološčić

et al. 2017

ACC

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The management of postoperative pain after carpal tunnel syndrome surgical treatment at a tertiary hospital was analyzed and compared with the guidelines for perioperative pain management. This retrospective study included 579 patients operated on for carpal tunnel syndrome at the Split University Hospital Center in Split, Croatia. The following key data were collected from patient medical records: age, gender, type and dosage of premedication, type and dosage of anesthesia, type and dosage of postoperative analgesia per each postoperative day. The procedures related to perioperative pain were analyzed and compared with the current guidelines for perioperative acute pain management. Study results showed that 99.6% of patients with carpal tunnel syndrome were operated under local anesthesia, of which 2.9% also received sedation. Analgesics were prescribed to 45% of patients after surgery, and according to patient charts, 39% of patients actually received postoperative analgesic(s). Generally, postoperative pain was treated on the fi rst postoperative day, mostly with nonsteroidal anti-inflammatory drugs. Only two patients received weak opioids for postoperative pain. Many recommendations from the guidelines for perioperative acute pain management were not followed. In conclusion, the guidelines should be followed and appropriate interventions used to improve postoperative pain management.

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“…In the literature, a recurrence rate of 0.5-10% has been defined for CTS surgery. [21,22] We did not encounter any recurrence surgeries in the cases we are presenting. The average surgical time was reported 18.2 minutes for the double tunnels technique of CTS in the literature.…”

Section: Discussionmentioning

confidence: 77%

Minimally Invasive Open Surgical Approach and Outcomes for Carpal Tunnel Syndrome

et al. 2019

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Objectives:The most common peripheral neuropathy is carpal tunnel syndrome. The present study aims to describe our minimally invasive open surgical approach for carpal tunnel syndrome and evaluate surgical outcomes. Methods: We included 217 patients who were operated in our clinic for carpal tunnel syndrome by minimally invasive open surgical approach. Visual Analogue Scale and Functional Outcome Scale scores were obtained preoperative, postoperative at one month and three months to determine surgical outcomes. Results: The mean age of the patients was 55.4±12.8 years (32 to 69), 175 (80.6%) were women and 42 (19.4%) were men. The assessment of carpal tunnel syndrome's etiology showed that 189 (%87.1%) of the cases were idiopathic, 19 (8.8%) had hypothyroidism, 5 (2.3%) had rheumatoid arthritis and 4 (1.8%) were due to pregnancy. The average improvement of VAS between preoperatively and late postoperatively was 5.41±1.05. The average improvement FOS was 17.44±3.06. They were statistically significant. Conclusion:The minimally invasive open surgical approach for carpal tunnel syndrome (an average of 1 cm skin incision) is performed with local anesthesia and successful surgical outcomes are achieved.

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The double tunnels technique: an alternative minimally invasive approach for carpal tunnel syndrome

Cited by 10 publications

References 34 publications

Prospective Comparative Analysis Study of Minimally Invasive Surgical Decompressions versus Traditional Surgical Decompression of Carpal Tunnel Syndrome

Prospective Comparative Analysis Study of Minimally Invasive Surgical Decompressions versus Traditional Surgical Decompression of Carpal Tunnel Syndrome

Postoperative Pain Management after Carpal Tunnel Syndrome Surgical Treatment: Comparing Practice with Guidelines

Minimally Invasive Open Surgical Approach and Outcomes for Carpal Tunnel Syndrome

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