Volume 13, Issue 2 (2024)                   WJPS 2024, 13(2): 3-10 | Back to browse issues page


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1- 1. Department of Plastic and Reconstructive Surgery, King Fahad Medical City, Riyadh, Saudi Arabia , Taiffawaz11@gmail.com
2- Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, Riyadh, Saudi Arabia
3- King Khaled University, Abha, Saudi Arabia
4- King Saud University Medical City, Riyadh, Saudi Arabia
5- Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
6- Department of Plastic Surgery, Prince Sultan Military Medical City the Department of Scholarship Ministry of Health, Riyadh, Saudi Arabia
7- Department of Surgery, Imam Mohammad Ibn Saud University Riyadh, Saudi Arabia
Abstract:   (1643 Views)
Maintaining intraoperative haemostasis is crucial when conducting wide-awake hand surgeries, this is particularly to improve visibility which will improve patient’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 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.
 
Full-Text [PDF 396 kb]   (213 Downloads)    
Type of Study: Applicable | Subject: Special
ePublished: 2024/07/31

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