Wide-awake anesthesia in Dupuytren's contracture treated with collagenase

Messana, Francesco; Faccio, Diego; Sonda, Regina; Scortecci, Leonardo; Tiengo, Cesare; Bassetto, Franco

doi:10.1016/j.hansur.2020.09.002

Cited by 2 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…36,37 The feasibility of this wide-awake, local anesthesia, no tourniquet approach has also been demonstrated in cord manipulation following collagenase injection and its ability to reduce pain perception compared to traditional local anesthetic (level of evidence, II). 38 The technique also avoids unwanted admissions that may result from complications of general anesthesia. 39 An increase in the use of Bier block regional anesthesia was noted in the tracer (1 percent versus 9 percent, p = 0.029); however, given its overall declining popularity, this may be an artifact of the size of the cohort of surgeons utilizing this tracer.…”

Section: Complication Ratesmentioning

confidence: 99%

See 1 more Smart Citation

A 12-Year Review of Clinical Practice Patterns in Dupuytren Contracture Based on Continuous Certification by the American Board of Plastic Surgery

Yuksel

Shah

Sasson

et al. 2022

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Background: The American Board of Plastic Surgery collects data on 20 common plastic surgery operations as part of the Continuous Certification process. The goal of this study was to describe clinical trends in Dupuytren contracture repair since 2008 as they relate to evidence-based medicine articles published in this timeframe. Methods: Cumulative tracer data for Dupuytren contracture were reviewed for the period from February of 2008 to March of 2020 and compared with evidence-based medicine articles published in Plastic and Reconstructive Surgery. Topics were categorized as (1) pearls, addressed in both the tracer data and evidence-based medicine articles, (2) topics only addressed in tracer data, and (3) topics only addressed in evidence-based medicine articles. Results: As of March of 2020, 230 cases of Dupuytren contracture had been entered. The median age at time of surgery was 65 years (range, 38 to 91 years). Practice patterns from 2008 through 2014 were compared with those between 2015 and 2020. The most common surgical technique was limited fasciectomy (62 percent of cases). Differences in practice between these time periods included decrease in the use of radical fasciectomy (34 percent versus 16 percent, p = 0.002), increase in percutaneous cordotomy (0 percent versus 13 percent), and increase in the use of collagenase injections (0 percent versus 9 percent, p = 0.001). Use of Bier blocks increased (1 percent versus 7 percent), and tourniquet use decreased (97 percent versus 80 percent). Significant changes were also noted in postoperative management. Conclusion: By examining American Board of Plastic Surgery tracer data, the authors have described national trends in presentation and surgical techniques for Dupuytren contracture repair over a 14-year period.

show abstract