Ultra Minimally Invasive Ultrasound-Guided WALANT Carpal Tunnel Release скачать в хорошем качестве

Ultra Minimally Invasive Ultrasound-Guided WALANT Carpal Tunnel Release

Video-technique about the carpal tunnel release using ultra minimally invasive ultrasound WALANT surgery. This novel technique is performed without skin incisions, which means less aggression to the soft tissues and a much faster recovery. Its main advantages are: It is performed on an ambulatory patients, under local anesthesia. Without ischemia (no tourniquet is used). All surgery is performed through a puncture in the distal part of the forearm, leaving a scar of less than 1 mm. No stitches or bandages are required. When performed under continuous ultrasound control and Doppler, vasculonervious structures are visualized at all times, avoiding possible injury. The patient can use the hand immediately after surgery, avoiding significant efforts the first few weeks. In this video, surgical technique is described, whose steps are: Local anesthetic injection inside the carpal tunnel Hydrodissection that increases the safety space between the median nerve and the ulnar artery Exploration with a blunt probe to reproduce the path that the scalpel will take later Doppler localization of the superficial palmar arterial arch, as a distal limit of the transverse carpal ligament Introduction of the scalpel through the previous puncture, keeping its profile in a horizontal position Verification at all times of the position of the scalpel in the Nakamichi safety space Location of the distal edge of the transverse ligament and Doppler verification of the vascular structures path 90º rotation of the scalpel, with its profile in an upright position, making the ligament cut retrograde Repeat the necessary reviews until the complete section of the transverse ligament is performed Probe check of the entire ligament section Gauze placement with compressive dressing for 48-72h _