en تخصصي Special كاربردي Applicable <span style="font-size:11pt"><span style="line-height:200%"><span sans-serif="" style="font-family:Arial,"><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Maintaining intraoperative haemostasis is crucial when conducting wide-awake hand surgeries, this is particularly to improve visibility which will improve patient&rsquo;s outcome. There are various methods that could achieve the aforementioned, some of which is wide awake local anaesthesia without tourniquet (WALANT) or Tourniquet alongside sedation. Each method has its own benefits and drawbacks. This study primarily focuses on Carpal Tunnel Syndrome and Trigger Finger release. A comprehensive literature review was conducted through </span></span></span><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">PUBMED, Scopus, google scholar, and web of science. A total of 45 articles were included in the study. We aimed to assess whether the literature supports the use of a tourniquet alongside sedation, or only local anesthesia and epinephrine in wide awake hand surgeries. Moreover, we aimed to highlight the benefits and drawbacks of using a tourniquet, and determine the patient population most likely to benefit from tourniquet application.</span></span></span></span></span></span><br> &nbsp; Tourniquet, Wide-awake hand surgeries, Carpal Tunnel, Trigger Finger 3 10 http://wjps.ir/browse.php?a_code=A-10-953-2&slc_lang=en&sid=1 Taif Alnojaidi Taiffawaz11@gmail.com 100319475328460015716 100319475328460015716 Yes 1. Department of Plastic and Reconstructive Surgery, King Fahad Medical City, Riyadh, Saudi Arabia Sultan Alaqil 100319475328460015717 100319475328460015717 No Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, Riyadh, Saudi Arabia Reemah Alqahtani 100319475328460015718 100319475328460015718 No King Khaled University, Abha, Saudi Arabia Ghaida Albraithen 100319475328460015719 100319475328460015719 No King Saud University Medical City, Riyadh, Saudi Arabia Rahaf Almutairi 100319475328460015720 100319475328460015720 No Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia Abdullah Khubrani 100319475328460015721 100319475328460015721 No Department of Plastic Surgery, Prince Sultan Military Medical City the Department of Scholarship Ministry of Health, Riyadh, Saudi Arabia Abdulmajeed Alhadlaq 100319475328460015722 100319475328460015722 No Department of Surgery, Imam Mohammad Ibn Saud University Riyadh, Saudi Arabia