Pires Neto Pedro José, Ribak Samuel, Sardenberg Trajano
Department of Orthopaedic and Hand Surgery, Felício Rocho Hospital, Av. do Contorno 9530, Belo Horizonte, Minas Gerais 30110-934, Brazil.
Pontifical Catholic University of Campinas (PUC-Campinas), Av. John Boyd Dunlop - Jardim Ipaussurama, Campinas, São Paulo 13034-685, Brazil.
Hand Clin. 2019 Feb;35(1):51-58. doi: 10.1016/j.hcl.2018.08.005.
The authors report the introduction and development of wide awake hand surgery under local anesthesia no tourniquet (WALANT) in South America, specifically in Brazil, where thousands of cases have already been performed with this technique. This was largely stimulated by Dr Lalonde's first visit to Brazil in 2012. The authors began with smaller procedures such as trigger fingers and carpal tunnels, which were easily implemented. There has been an increase in the number of more complex procedures, such as flexor tenolysis or tendon transfers, in which patient cooperation can help improve results.
作者报告了在南美洲，特别是在巴西，局部麻醉无止血带清醒手外科手术（WALANT）的引入和发展情况，该技术已在巴西实施了数千例手术。这在很大程度上受到拉隆德博士2012年首次访问巴西的推动。作者从较小的手术开始，如扳机指和腕管综合征手术，这些手术很容易实施。现在，诸如屈肌腱松解术或肌腱转移术等更复杂的手术数量有所增加，在这些手术中患者的配合有助于提高手术效果。
