Med Bull Sisli Etfal Hosp. 2019; 53(3): 247-251 | DOI: 10.14744/SEMB.2019.94759

Minimally Invasive Open Surgical Approach and Outcomes for Carpal Tunnel Syndrome

Ýsmail Yüce¹, Okan Kahyaoðlu², Halit Çavuþoðlu¹, Yunus Aydin^2
1Vocational School of Health Services, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
²Acibadem Healthcare Group, Fulya Hospital, Neurosurgery, Istanbul, Turkey

Objectives: The most common peripheral neuropathy is carpal tunnel syndrome. The present study aims to describe our minimally invasive open surgical approach for carpal tunnel syndrome and evaluate surgical outcomes.
Methods: We included 217 patients who were operated in our clinic for carpal tunnel syndrome by minimally invasive open surgical approach. Visual Analogue Scale and Functional Outcome Scale scores were obtained preoperative, postoperative at one month and three months to determine surgical outcomes.
Results: The mean age of the patients was 55.4±12.8 years (32 to 69), 175 (80.6%) were women and 42 (19.4%) were men. The assessment of carpal tunnel syndrome’s etiology showed that 189 (%87.1%) of the cases were idiopathic, 19 (8.8%) had hypothyroidism, 5 (2.3%) had rheumatoid arthritis and 4 (1.8%) were due to pregnancy. The average improvement of VAS between preoperatively and late postoperatively was 5.41±1.05. The average improvement FOS was 17.44±3.06. They were statistically significant.
Conclusion: The minimally invasive open surgical approach for carpal tunnel syndrome (an average of 1 cm skin incision) is performed with local anesthesia and successful surgical outcomes are achieved.

Keywords: Carpal tunnel syndrome, minimally invasive open surgical approach; transverse carpal ligament.

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Karpal Tünel Sendromunun Cerrahi Tedavisinde Uygulanan Minimal Ýnvaziv Açýk Cerrahi Yaklaþým ve Klinik Sonuçlarýmýz

Ýsmail Yüce¹, Okan Kahyaoðlu², Halit Çavuþoðlu¹, Yunus Aydin^2
1Acýbadem Mehmet Ali Aydýnlar University, Vocational School of Health Services, Ýstanbul, Turkey.
²Acýbadem Healthcare Group, Fulya Hospital, Istanbul, Turkey.

Amaç: Periferik tuzak nöropatilerin en sýk karþýlaþýlaný karpal tünel sendromudur. Çalýþmamýzdaki amacýmýz karpal tünel sendromunun tedavisinde uygulanan minimal invaziv açýk cerrahi yaklaþýmý tanýmlamak ve cerrahi sonuçlarýný ortaya koymaktýr.
Yöntem: Kliniðimizde karpal tünel sendromu tanýsý ile minimal invaziv açýk cerrahi yaklaþým uygulanarak tedavi edilen 217 vaka çalýþmamýza dahil edildi. Hastalarýn cerrahi tedaviden yarar görmelerinin deðerlendirilmesi için ameliyat öncesi, ameliyattan 1 ay ve 3 ay sonra uygulanmýþ olan Visual Analog Skala (VAS) ve Fonksiyonel Durum Skalasý (FDS) sonuçlarý kullanýlarak incelendi.
Bulgular: Vakalarýn yaþ ortalamasý 55,4±12,8 yýl (daðýlýmý 32-69) olup 175 (%80,6) vaka kadýn 42 (%19,4) vaka erkekti. KTS nin etyolojisi deðerlendirildiðinde 189 (%87,1) vaka idiyopatik, 19 (%8,8) vakada hipotroidi, 5 (%2,3) vakada romatoid artrit, 4 vakada (%1,8) gebeliðin yer aldýðý görüldü. Ameliyat öncesi VAS ile ameliyat sonrasý geç dönem arasýndaki VAS deðiþimi 5,41±1,05 bulundu. FDS deðiþim 17,44±3,06. Skalalarýn deðiþimi istatistiksel olarak anlamlýydý.
Sonýuç: Karpal tünel sendromunun cerrahi tedavisinde uygulanan minimal invaziv açýk cerrahi yaklaþým lokal anestezi ile uygulanabilmekte (ortalama 1cm insizyon ile) ve baþarýlý cerrahi sonuçlar elde edilmektedir.

Anahtar Kelimeler: karpal tünel sendromu, minimal invaziv açýk cerrahi yaklaþým, transfers karpal ligaman

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