Open Carpal Tunnel Decompression Under Local  Anaesthesia for Treatment  of Carpal Tunnel Syndrome ( C.T.S)

Saeed Ahmed, Abdulrahman

	Open Carpal Tunnel Decompression Under Local Anaesthesia for Treatment of Carpal Tunnel Syndrome ( C.T.S)
Diyala Journal of Medicine
Article 1, Volume 5, Issue 1, 2013, Pages 44-50
Author
Abdulrahman Saeed Ahmed
Abstract
Background Carpal tunnel syndrome is an entrapment neuropathy of the median nerve at the wrist underneath the flexor retinaculum .It's widely more common in females than males, usually responding to conservative treatment and surgery indicated for severe cases unresponding to conservative line of treatment. Surgery could be done under G.A. ,regional or local anaesthesia , however nowadays mostly done under local anaesthesia. Aim of the study To prove that this technique is reliably effective, easy, safe and remarkably cost-effective. Patients and method All patients with C.T.S who had been diagnosed clinically and failed to respond to conservative treatment included in this study from 1st Jan 2003 to 31st Dec 2011 inclusive. All the cases were submitted to open carpal tunnel decompression done under local anaesthesia using 5 ml of 1% lidocaine infiltrated at the site of the proposed incision with tourniquet applied to the upper arm. This procedure had been done for all patients on an outpatient basis. Results Total number of the cases included in this study was 499 patients ,487 females and only 12 males. 450 patients had unilateral C.T.S, while 49 patients had bilateral C.T.S 99.96% of the cases were satisfied with this procedure. Conclusion This procedure found technically easy ,safe, satisfactory for almost all the patients and highly cost-effective
Keywords
Carpal Tunnel; open decompression; local anaesthesia

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