Transillumination in minimally invasive surgery for carpal tunnel release

Franzini, Angelo; Broggi, Giovanni; Servello, Domenico; Dones, Ivano; Pluchino, Maria Grazia

doi:10.3171/jns.1996.85.6.1184

Cited by 11 publications

(7 citation statements)

References 14 publications

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“…Late complications, on the other hand, have a relatively high incidence. These are hypertrophic scar formation, scar tenderness, pillar pain, loss of grip strength and sympathetic dystrophy resulting in the delay of returning to daily activities or work and emotional distress (2,5,6,14). To reduce these complications, various limited incisions or endoscopic techniques are described by authors (3,8,10,12,19,23,24,26).…”

Section: Discussionmentioning

confidence: 99%

“…In 1996, Franzini et al reported a minimally invasive technique with a small longitudinal incision of 1 cm., proximal to the wrist crease. They performed 473 operations by using that incision and transillumination technique with 90 % complete remission (14). In this study, we aimed to analyze the outcome of patients operated for carpal tunnel syndrome using microsurgical limited uni skin incision.…”

Section: Discussionmentioning

confidence: 99%

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

Işik

Bostancı²

2010

Turkish Neurosurgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Işik

Bostancı²

2010

Turkish Neurosurgery

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“…However, late complications have a relatively high incidence. These are hypertrophic scar formation, scar tenderness, pillar pain, loss of grip strength and sympathetic dystrophy resulting in the delay of returning to daily activities or work and emotional distress 4,8,9,28 . As many as 24% of post-operative problems in median nerve release is related to skin incision 3 .…”

Section: Discussionmentioning

confidence: 99%

Transverse mini skin incision for carpal tunnel release

Bozkurt¹

2017

Cumhuriyet Medical Journal

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Mini skin incision technique for median nerve release have become popular recently for the treatment of carpal tunnel syndrome. The main advantages of this technique are shorter recovery time and better cosmetic results. Neurovascular injury still remains controversial. We presented the advantages, disadvantages and results of transverse mini skin incision technique to release carpal tunnel syndrome. Method: 62 carpal tunnel releasing procedures were performed.52 female and 10 male patients with mean age of 62 (ranging from 38 to 82) included in this study. All patients were operated by using transverse mini skin incision technique. Results: Significant improvement was observed in symptoms and signs during the postoperative follow-up period. No recurrence or injury to the neurovascular structures was noted. Conclusions: The technique is simple and effective. Without using expensive instruments better cosmetic results and better recovery time can be achieved. Keywords : Carpal tunnel syndrome, transverse mini skin incision, better cosmetic results ÖZET Amaç: Karpal tünel sendromu cerrahisinde mini cilt insizyonu tekniği popülerleşmektedir. Tekniğin ana avantajı kısa iyileşme zamanı ve daha iyi kozmetik sonuçtur. Nörovasküler zedelenme ihtimali mini cilt insizyonu tekniğinde hala tartışma konusudur. Makalemizde transvers mini cilt insizyonu tekniğini karpal tünel sendromu cerrahisindeki avantaj ve dezavantajları açısından tartıştık Yöntem: 62 karpal tünel cerrahisi mini cilt insizyonu ile uygulandı. Hastaların 52 si kadın 10 u erkek idi. Ortalama yaş 62 (en küçük 38 en büyük 82) olarak izlendi. Bulgular: Takipte hastaların bulgu ve şikayetlerinde belirgin iyileşme izlendi. Hastaların hiç birinde rekürrens veya nörovasküler yapılarda zedelenme izlenmedi. Sonuç: Mini cilt insizyonu tekniği etkili, basit ve cerrahi için pahalı ekipman gerektirmiyor. Cerrahi sonrası iz ve iyileşme zamanında konvansyonel yönteme nazaran daha iyi sonuçlar veriyor.

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“…Several other methods of imaging the region of the carpal tunnel, including ultrasound and thermography, 22,44,67,113,165 have been evaluated. Although ultrasound has been found to be 95% accurate diagnostically, 22 with 90% EMG correlation, 113 and is excellent in judging postoperative release at follow-up, it is still inferior to MRI in assessing mild CTS and determining alternative etiologies for the underlying nerve compression.…”

Section: Median Nerve Entrapment At the Wristmentioning

confidence: 99%