| Endoscopic Assisted Indiana Tome Technique of Carpal Tunnel Syndrome in Old Ages Comparison of Improvements and Complications with or without Tourniquet |
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Sang-Bae Chae , Chan-Jong Yoo , Woo-Kyung Kim , Sang-Gu Lee , Cheol-Wan Park |
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Department of Neurosurgery, Gachon University, Gil Hospital, Incheon, Korea |
| 고령에서 내시경을 이용한 수근관 증후군의 인디아나 톰 수술법: 압박 띠 사용 유무에 따른 증상 호전 및 합병증의 비교 |
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채상배ㆍ유찬종ㆍ김우경ㆍ이상구ㆍ박철완 |
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가천의과학대학교 신경외과학교실 |
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| Abstract |
Objective
We compared symptom improvements and complications between with and without using tourniquet in postoperative carpal tunnel syndrome.
Methods
30 CTS were treated via the endoscopic assisted Indiana Tome technique with tourniquet from March 2001 to September 2003 patients and 39 CTS patients were treated via same technique without tourniquet from January 2007 to November 2009. We compared the symptoms, complications, amount of bleeding, electrophysiological test in the preoperative state and 6 months after surgery. We marked the times at which patients became able to return to activities of daily living and work, after undergoing carpal tunnel release.
Results
At the end of the follow-up period, no differences were observed, with respect to both the symptoms and complications. We discovered significant differences at symptom improvements between the preoperative and postoperative periods, with respect to both with or without tourniquet. But, there is no significant difference between with and without tourniquet. There was no complication. Blood loss was not a piece of gauze. Average time interval required before return to activities of daily living were 26.4 and 26.8 days, and time interval required before return to work were 48.08 and 49.3 days, also no significant differences.
Conclusion
There is no significant differences at symptom improvements and complications between using tourniquet or not. So, neurosurgeon can operate a carpal tunnel release, easily and safely without tourniquet. |
| Key Words:
Carpal Tunnel SyndromeㆍTourniquets |
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