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Surgery may be
indicated if the:
the patient's symptoms have not responded
to nonoperative treatment.
the symptoms are very severe, or
nerve testing indicates significant damage to the median nerve.
the patient has had symptoms for a number
of years before seeking medical advice. It may be better to proceed
directly to surgery in these types of cases.
The operation is a short procedure usually
done in an outpatient setting. The 30-minute procedure can be performed
with a local or regional anesthetic allowing the patient to remain awake
during the operation.
The two most popular procedures are the open
technique and the endoscopic technique.
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Open Technique- Also called an "open release". In this
procedure a small incision is made at the base of the palm. This
allows the surgeon to see and cut the transverse carpal ligament
to open the roof of the tunnel. By releasing the ligament, pressure
on the median nerve is eliminated.
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Endoscopic Technique
- This procedure uses a small tube that the doctor inserts through
a ½" incision in the patient's palm or wrist. A fiberoptic camera
in the tube allows the surgeon to see the underside of the transverse
carpal ligament, which can then be released with a special knife.
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Both of these techniques have relatively high success rates; approximately
90% of patients get relief from their symptoms. There are advantages and
risks associated with each method. The preferred procedure depends on
the surgeon's experience and should only be selected after the options
have been discussed in detail.
What types of complications may occur?
There are possible complications from surgical treatment, but they are
relatively rare. There are risks associated with anesthesia, infection,
and possible injury to nerves, vessels, or tendons. Other potential problems
following surgery include finger stiffness, a tender scar, persistent
numbness, and (rarely) increased pain.
 
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© 2003 by LeadingMD, Inc. All rights reserved.
Disclaimer
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