Tzarnas C D
Division of Plastic Surgery, Mercy Catholic Medical Center, Darby, PA.
J Hand Surg Am. 1993 Nov;18(6):1041-3. doi: 10.1016/0363-5023(93)90400-W.
Release of the transverse carpal ligament can be performed safely under local anesthesia. The addition of epinephrine to the local anesthetic will cause sufficient vasoconstriction to maintain a dry field without the need of a tourniquet. This allows the procedure to be performed without regard to tourniquet pain. It has been our technique of choice in patients with functioning hemodialysis fistulae. The procedure was performed in 21 wrists to assess its safety. This approach was found to be a safe, effective, and efficient alternative to the standard tourniquet-dependent procedure.
腕横韧带松解术可在局部麻醉下安全进行。在局部麻醉药中添加肾上腺素会引起足够的血管收缩，从而无需使用止血带就能保持手术视野干燥。这使得手术可以在不考虑止血带疼痛的情况下进行。对于有功能的血液透析动静脉内瘘的患者，这一直是我们首选的技术。我们对21例手腕进行了该手术以评估其安全性。结果发现，这种方法是一种安全、有效且高效的替代标准的依赖止血带手术的方法。
