Adkinson Joshua M, Chung Kevin C
Division of Plastic Surgery, Department of Surgery, Lehigh Valley Health Network, Cedar Crest & I-78, P.O. Box 689, Allentown, PA 18103-4689, USA.
Hand Clin. 2014 Feb;30(1):63-70. doi: 10.1016/j.hcl.2013.08.019. Epub 2013 Nov 9.
With initiatives to decrease operative morbidity, complications, and associated costs, minimalincision techniques have found an expanding role within multiple specialties. Minimal-incision in situ open techniques for ulnar nerve release at the elbow provide adequate exposure and reproducible, satisfactory outcomes. Furthermore, there is no need for endoscopic equipment and the resultant dependence on staff adequately trained to operate and troubleshoot equipment. More robust research with a focus on complications and standard outcome measures will be required to further define the role of minimal-incision techniques. This technical modification, however, augments the increasing armamentarium of the hand surgeon.
随着旨在降低手术发病率、并发症及相关成本的举措的实施,微创技术在多个专科领域发挥着越来越重要的作用。用于肘部尺神经松解的微创原位开放技术能够提供充分的暴露,并取得可重复的满意效果。此外,该技术无需内镜设备,也无需依赖经过充分培训以操作和排除设备故障的工作人员。需要开展更深入的研究,聚焦并发症和标准结局指标,以进一步明确微创技术的作用。然而,这种技术改进增加了手外科医生日益丰富的技术手段。