ISSN 2458-7834
 

Original Article 


The rise of wide awake hand surgery - Contribution from Turkey

Egemen Ayhan, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, Metin M Eskandari.

Cited by (6)

Abstract
Objectives: Recently, many surgeons started to prefer wide awake local anesthesia no tourniquet (WALANT) approach to provide an almost bloodless field for the vast majority of hand surgery procedures. We aimed to present our two-year experience with WALANT technique.
Methods: A wide variety of 682 hand surgery operations in 626 patients were performed with WALANT technique. For infiltrative local anesthesia, the mixture of 1% lidocaine, 1:100.000 epinephrine and 8.4% bicarbonate was prepared. The need for intraoperative sedation and intraoperative patient cooperation were evaluated. Patients' fingers were observed in case of postoperative circulatory compromise. A simple cost-effectivity analysis for the anesthesia types was performed.
Results: Mean age of the patients was 43.7. None of the patients needed intraoperative sedation, and patients obeyed to orders of surgeon throughout the procedure. The postoperative circulatory compromise was observed in two fingers; one finger resolved spontaneously and the other rescued with phentolamine. WALANT technique was more cost-effective than Bier block or general anesthesia.
Conclusion: The WALANT technique seems like a great innovation to perform a wide variety of hand surgery cases. Increased patient comfort without a tourniquet, cost-effectivity, no preoperative tests, no risks of general anesthesia, no need to stay in the hospital overnight, and intraoperative active motion assessment facility are important advantages.

Key words: Wide awake hand surgery, WALANT, tourniquet, epinephrine


 
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This Article Cited By the following articles

Reply: Patients’ Perspective on Carpal Tunnel Release with WALANT or Intravenous Regional Anesthesia
2021; 147(5): 888e.

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WALANT Technique versus Sedation for Endoscopic Carpal Tunnel Release
Hand (New York, N,Y.) 2021; (): 155894472110031.

2
 
A Review of 1073 Cases of Wide-Awake-Local-Anaesthesia-No-Tourniquet (WALANT) in Finger and Hand Surgeries in an Urban Hospital in Malaysia
2021; (): .

3
 
The use of the wide-awake local anesthesia no tourniquet technique in foot and ankle injuries
Foot and Ankle Surgery 2021; 27(5): 535.

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The use of the wide-awake local anesthesia no tourniquet technique in foot and ankle injuries
Foot and Ankle Surgery 2020; (): .

5
 
Wide-Awake Local Anesthesia No Tourniquet (WALANT) versus Local or Intravenous Regional Anesthesia with Tourniquet in Atraumatic Hand Cases in Orthopedics: A Systematic Review and Meta-Analysis
J Hand Surg Asian-Pac Vol 2019; 24(04): 469.

6
 
How to Cite this Article
Pubmed Style

Ayhan E, Ozdemir E, Gumusoglu E, Cevik K, Eskandari MM. The rise of wide awake hand surgery - Contribution from Turkey. Hand Microsurg. 2018; 7(3): 125-134. doi:10.5455/handmicrosurg.299709


Web Style

Ayhan E, Ozdemir E, Gumusoglu E, Cevik K, Eskandari MM. The rise of wide awake hand surgery - Contribution from Turkey. https://handmicrosurgeryjournal.com/?mno=299709 [Access: September 28, 2022]. doi:10.5455/handmicrosurg.299709


AMA (American Medical Association) Style

Ayhan E, Ozdemir E, Gumusoglu E, Cevik K, Eskandari MM. The rise of wide awake hand surgery - Contribution from Turkey. Hand Microsurg. 2018; 7(3): 125-134. doi:10.5455/handmicrosurg.299709



Vancouver/ICMJE Style

Ayhan E, Ozdemir E, Gumusoglu E, Cevik K, Eskandari MM. The rise of wide awake hand surgery - Contribution from Turkey. Hand Microsurg. (2018), [cited September 28, 2022]; 7(3): 125-134. doi:10.5455/handmicrosurg.299709



Harvard Style

Ayhan, E., Ozdemir, . E., Gumusoglu, . E., Cevik, . K. & Eskandari, . M. M. (2018) The rise of wide awake hand surgery - Contribution from Turkey. Hand Microsurg, 7 (3), 125-134. doi:10.5455/handmicrosurg.299709



Turabian Style

Ayhan, Egemen, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, and Metin M Eskandari. 2018. The rise of wide awake hand surgery - Contribution from Turkey. Hand and Microsurgery, 7 (3), 125-134. doi:10.5455/handmicrosurg.299709



Chicago Style

Ayhan, Egemen, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, and Metin M Eskandari. "The rise of wide awake hand surgery - Contribution from Turkey." Hand and Microsurgery 7 (2018), 125-134. doi:10.5455/handmicrosurg.299709



MLA (The Modern Language Association) Style

Ayhan, Egemen, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, and Metin M Eskandari. "The rise of wide awake hand surgery - Contribution from Turkey." Hand and Microsurgery 7.3 (2018), 125-134. Print. doi:10.5455/handmicrosurg.299709



APA (American Psychological Association) Style

Ayhan, E., Ozdemir, . E., Gumusoglu, . E., Cevik, . K. & Eskandari, . M. M. (2018) The rise of wide awake hand surgery - Contribution from Turkey. Hand and Microsurgery, 7 (3), 125-134. doi:10.5455/handmicrosurg.299709





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