A non-scalpel technique for minimally invasive surgery: percutaneously looped thread transection of the transverse carpal ligament

Hand : Official Journal of the American Association for Hand Surgery
Danqing GuoDanzhu Guo

Abstract

This study aims to develop an alternate technique for improving the surgical procedure of carpal tunnel release. The transverse carpal ligament is transected by utilizing a piece of thread looped percutaneously under the visualization of ultrasound. The procedure, the thread carpal tunnel release (TCTR), was performed on 34 hands of 20 patients. Self-administrated Levine-Katz questionnaire was used for assessing the symptom severity and functional status of the outcomes. TCTR was performed in each case with no unintended consequences. The average duration for a procedure was 7 min, excluding time of preparation. Significant improvements in subjective sensibility were reported within 24 h, and sleep quality improved for all cases. There were no postoperative complications. The scores of questionnaire 3 months postoperatively were comparable to the literature controls. TCTR is a safe and effective minimally invasive surgery performed under local anesthesia in a clinic-based procedure room and results in only one-needle entrance point at the wrist and one-needle exit point in the palm. The feature of the procedure includes the potentials of reduced risk of iatrogenic injury, reduced surgical cost, and reduced patient recovery time...Continue Reading

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Citations

Aug 25, 2016·The Journal of Hand Surgery·Danqing GuoLogan C McCool
Apr 24, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jose Manuel Rojo-ManauteJavier Vaquero-Martín
Aug 24, 2017·Hand : Official Journal of the American Association for Hand Surgery·Danqing GuoRachel M Lytie
May 17, 2018·The Journal of Hand Surgery, European Volume·Danqing GuoDanzhu Guo
Mar 9, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Troy HenningLynda Yang
Mar 9, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Erek W LatzkaAdam M Pourcho
Feb 9, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Nimish MittalAnn Agur
Apr 16, 2019·Hand : Official Journal of the American Association for Hand Surgery·Robert S BurnhamLarry D Playfair
Jun 14, 2019·The Journal of Hand Surgery, European Volume·Danqing GuoDanzhu Guo
May 1, 2019·The Journal of Hand Surgery Asian-Pacific Volume·Jirapong Leeyaphan, Rosarin Ratanalekha
Sep 22, 2019·Hand : Official Journal of the American Association for Hand Surgery·Logan McCoolAlexander Senk
Feb 8, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Brennan J BoettcherJonathan T Finnoff
Sep 21, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Peter HebbardStephen Franzi
May 10, 2017·Neurology Research International·Rodrigo Ramos-ZúñigaLuis A Zepeda-Gutiérrez
Jun 20, 2017·American Journal of Physical Medicine & Rehabilitation·Robert BurnhamAnne Agur
Apr 3, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·P Troy HenningAdam M Pourcho
Sep 7, 2019·Orthopaedic Journal of Sports Medicine·Brennan J BoettcherJonathan T Finnoff
Jul 20, 2017·Hand : Official Journal of the American Association for Hand Surgery·Danqing GuoBrionn Tonkin
Feb 11, 2021·Plastic and Reconstructive Surgery·Andres A MaldonadoAlexander Y Shin
Jul 4, 2020·Techniques in Hand & Upper Extremity Surgery·Verena J M M SchrierJeffrey S Brault
Sep 3, 2020·AJR. American Journal of Roentgenology·Sarah I KamelLevon N Nazarian
Oct 12, 2021·The Journal of Hand Surgery, European Volume·Derek B AssersonAlexander Y Shin

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Methods Mentioned

BETA
sedation

Software Mentioned

OCTR
ECTR

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