The aim of this study is to compare pain or discomfort during the ingreep between WALANT and tourniquet use.In addition, we aim to determine whether carpal tunnel release or trigger finger release using WALANT has an effect on recovery, patient-…
ID
Source
Brief title
Condition
- Other condition
- Peripheral neuropathies
Synonym
Health condition
Carpale tunnel syndroom, tenovaginitis stenosans
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Pain during the surgery on a 0-10 numeric rating scale
Secondary outcome
Patient-reported outcome measures:
- QuickDASH
- BCTQ
- Postoperative complications
Background summary
Elective hand surgery such as carpal tunnel release and trigger finger release
can be performed in the outpatient clinic with local anesthesia and tourniquet.
A tourniquet is used for controlled exsanguination of the limb during surgery
to minimize blood loss and increase visibility in the surgical field. The
tourniquet, however, may be uncomfortable or even painful for the patient. In
*Wide-Awake, Local Anesthesia, No Tourniquet* (WALANT) surgery, adrenalin is
used for local vasoconstriction (Lalonde, 2017). Within the plastic surgery
department of the JBZ hospital, both WALANT and tourniquets are used during
hand surgery at the discretion of the surgeon.
Study objective
The aim of this study is to compare pain or discomfort during the ingreep
between WALANT and tourniquet use.
In addition, we aim to determine whether carpal tunnel release or trigger
finger release using WALANT has an effect on recovery, patient-reported outcome
on the short and long term, and rate of postoperative complications. The
information can be used to recommend the use of WALANT during minor hand
surgery in the nationwide protocol.
Study design
Randomized controlled trial
Intervention
Application of a tourniquet during regular surgery
Study burden and risks
Burden: questionnaires at 4 timepoints, max 5 minutes each time.
Risk: negligible.
Henri Dunantstraat 1
's-Hertogenbosch 5223GZ
NL
Henri Dunantstraat 1
's-Hertogenbosch 5223GZ
NL
Listed location countries
Age
Inclusion criteria
Operative treatment for carpal tunnel syndrome or stenosing tenosynovitis
Exclusion criteria
Coagulopathy or use of vitamin K antagonist that may not be temporary withdrawn
Recurrent or persisting CTS or TVS
Axillary lymph node dissection of the affected limb
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL68903.028.19 |