Karpal Tünel Bıçağı ile Median Sinir Gevşetme Ameliyatlarının Erken Dönem Sonuçları: Retrospektif Çalışma

Amaç: Son yıllarda karpal tünel sendromunun cerrahi tedavisinde dikkate değer gelişmeler kaydedilmiştir. Özellikle endoskopik ve minimal invaziv tekniklerin popülaritesi artmaktadır. Bu çalışmanın amacı ışıklı karpal tünel bıçağı kullanılarak palmar mini insizyonla yaptığımız median sinir gev-şetme olgularımızın erken dönem sonuçlarını sunmaktır. Gereç ve Yöntem: Karpal tünel bıçağı kullanarak ameliyat ettiğimiz 50 hasta retrospektif olarak değerlendirildi. Hastaların 40’ı kadın 10’u erkekti. 5 hastada bilateral karpal tünel sendromu vardı. Ortalama yaş 59,75 (33-81) yıl idi. Ortalama takip süresi 11,2 (6-18) aydı. Hastaların hepsinde klinik tanı ameliyat öncesi elektronöromiyografi ile doğrulandı. Cerrahi girişim turnike uygulanmadan lokal anestezi altında minimal palmar insizyon kulla-nılarak yapıldı. Ameliyat sonrası basit bandaj uygulandı ve immobilizasyon yapılmadı. Bulgular: Ortalama ameliyat süresi 13 (10-17) dakika olarak tespit edildi ve hiçbir hastada intraoperatif komplikasyon gelişmedi. Hastalar ortalama 7 (5-13) gün sonra kendi bakımları için ellerini kullanabildi. Çalışan hastaların ortalama işe dönme süreleri 25 (18-35) gündü. Hastaların hepsi sonuçtan memnundu sadece iki hastada minimal skar ağrısı mevcuttu. Sonuç: Bu minimal invaziv yöntem ile elde ettiğimiz en dikkat çekici sonuç hastaların ameliyattan sonra erken dönemde ellerini kullanabilmeleri ve fonksiyonel iyileşmenin erken dönemde sağlanabilmesidir.

Short-term Outcomes of Median Nerve Decompression Surgery with Carpal Tunnel Knife: A Retrospective Study

Objective: Remarkable progress has been made in the surgical treatment of capral tunnel syndrome recently. Popularity of endoscopic and minimally invasive techniques has been increased in particular. The aim of this study was to present the short-term outcomes of patients undertaken median nerve decompression surgery with palmar mini-incision using carpal tunnel knife with light (Blade-X®, Mavera Medical Devices, Ankara, Turkey). Material and Method: A total of 50 patients who were operated by using carpal tunnel knife, were retrospectively evaluated. Among those, 40 were female and 10 were male. Five patients had bilateral capral tunnel syndrome. Mean age was 59.75 (33-81 y). Mean duration of follow-up was 11,2 months (6-18 m). Preoperative clinical diagnosis was confirmed via electroneuromyography in all patients. Surgery was performed under local anest-hesia without tourniquet with minimal palmar incision. Simple bandage was performed postoperatively and no immobilization was performed. Results: Mean duration of operation was 13 minutes (10-17 min). No complication was observed in any of the patients. Patients were able to use their hands for self-care after a mean of 7 days (5-13 d). Mean time to get back to work was 25 days (18-35 d) for those who are employed. All patients were satisfied except two patients experiencing scar pain. Conclusion: The most remarkable outcome of this minimally invasive method was rapid usage of the hands postoperatively and the functional reco-very observed in the short-term.

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