The operation of the carpal tunnel is mostly done outpatient, without hospitalization: the patient is operated in the morning and comes out at night. It is performed by an orthopedic surgeon, under local or regional anesthesia (arm and hand), and lasts about fifteen minutes.
Two techniques are possible:
The classic method:
the most used, consists of an incision of about four centimeters from the base of the wrist to the center of the palm. For the past decade, some surgeons have been choosing a shorter incision of just two centimeters. Then, the ligament covering the median nerve is cut along its entire length, in order to disengage the carpal tunnel.
The endoscopic method:
We make a small incision (1 cm) at the wrist where we slide a mini-camera to visualize the ligament. Then we pass a "blade" to cut it.
Both techniques of carpal tunnel surgery are equally effective. The choice of one or the other is therefore based on the surgeon and the patient's preference.
See also this video on carpal tunnel syndrome:
Many people know too little: carpal tunnel syndrome, a very painful condition that strongly impacts our lives when it occurs. Explanations in video ...
Postoperative adverse effects
As with any operation, complications are possible. In particular, by severing the ligament, one can damage the median nerve or small sensory nerves present in the region.
In addition, the procedure can lead to dysphasia, a disease characterized by swelling and stiffness of the fingers. Last possibility, the median nerve sticks to the scar and loses its slip. All these complications cause discomfort or pain.