使用 WALANT 与止血带的术中止血;腕管综合征和扳机指松解术的重点回顾。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.2.3
Taif Alnojaidi, Sultan Alaqil, Reemah Alqahtani, Ghaida Albraithen, Rahaf Almutairi, Abdullah Khubrani, Abdulmajeed Alhadlaq
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引用次数: 0

摘要

在进行宽清醒手部手术时,保持术中止血至关重要,这尤其是为了提高能见度,从而改善患者的治疗效果。有多种方法可以达到上述目的,其中包括不使用止血带的清醒局部麻醉(WALANT)或止血带配合镇静剂。每种方法都各有利弊。本研究主要关注腕管综合症和扳机指松解术。我们通过 PUBMED、Scopus、谷歌学术和科学网进行了全面的文献综述。研究共收录了 45 篇文章。我们旨在评估文献是否支持在宽清醒手部手术中使用止血带和镇静剂,或仅使用局部麻醉和肾上腺素。此外,我们还旨在强调使用止血带的好处和缺点,并确定最有可能从使用止血带中受益的患者人群。
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Intraoperative Hemostasis Using WALANT Versus Tourniquet; A Focused Review on Carpal Tunnel Syndrome and Trigger Finger Release.

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.

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