Sraj Shafic
Department of Orthopaedics, West Virginia University, PO Box 9196, Morgantown, WV, 26506-9196, USA.
J Hand Microsurg. 2024 Nov 22;17(2):100192. doi: 10.1016/j.jham.2024.100192. eCollection 2025 Mar.
Wide-Awake Local Anesthesia with No Tourniquet shifted how we provide hand surgery and liberated us from anesthesia-related constraints. This change led to the realization that hand surgery can be done in the office setting as long as safety requirements are fulfilled. This review focuses on what we know about office surgery from safety, society, facility, patient, and surgeon perspectives, and looks at the barriers that impede further expansion.
清醒局部麻醉无止血带技术改变了我们实施手部手术的方式,并使我们摆脱了与麻醉相关的限制。这一变化让我们意识到,只要满足安全要求,手部手术可以在门诊环境中进行。本综述从安全、社会、设施、患者和外科医生的角度,聚焦于我们对门诊手术的了解,并探讨阻碍其进一步发展的障碍。