University Clinic for Plastic and Reconstructive Surgery, Faculty of Medicine, University St. Cyril and Methodius, Skopje, North Macedonia.
Prague Med Rep. 2022;123(2):88-94. doi: 10.14712/23362936.2022.9.
The emergence of the COVID-19 pandemic imposed fundamental changes in the field of surgery. Reorganization was made in order to adequately treat the patients during the pandemic. WALANT (Wide Awake Local Anesthesia No Tourniquet) approach was found to be a very convenient method in facilitating continuity in hand surgery with limited staff. A retrospective comparative study was performed between period of April 2020 till September 2021 at our clinic to evaluate advantages of WALANT approach. This study included 136 patients, from which 72 (53%) were operated with WALANT, compared to the control group of 64 (47%) patients without WALANT. Average hospital stay for the WALANT group was 2.2 days vs. 4.7 days for the control group. Average operating room personnel were 3.8 for WALANT and 6.2 for the control non-WALANT group. Intraoperative and postoperative VAS (visual analogue scale) score was evaluated. Due to its diversity, low cost and low complication rate, we recommend WALANT approach in acute and elective hand surgery.
新冠疫情的爆发给外科领域带来了根本性的变化。为了在疫情期间对患者进行充分治疗，进行了重组。WALANT（清醒局部麻醉无止血带）方法被发现是一种非常方便的方法，可以在有限的人员配置下为手外科手术提供连续性。在我们的诊所，对 2020 年 4 月至 2021 年 9 月期间进行了一项回顾性对比研究，以评估 WALANT 方法的优势。这项研究包括 136 名患者，其中 72 名（53%）采用 WALANT 进行了手术，而对照组为 64 名（47%）无 WALANT 的患者。WALANT 组的平均住院时间为 2.2 天，对照组为 4.7 天。WALANT 组的平均手术室人员为 3.8 人，对照组非 WALANT 组为 6.2 人。评估了术中及术后 VAS（视觉模拟评分）。由于其多样性、低成本和低并发症发生率，我们推荐 WALANT 方法用于急性和择期手部手术。
