[Implantation of oxidized, regenerated cellulose for prevention of recurrence in surgical therapy of carpal tunnel syndrome].

Recurrences and persistent symptoms of carpal tunnel syndrome after its surgical treatment is most commonly due to inadequacies of the first procedure, recurrent tenosynovialitis and in particular adhesion formation between the median nerve and its surrounding tissue and scars. Because of the encouraging experiences with oxidized regenerated cellulose (INTERCEED) as an absorbable adhesion-barrier in abdominal surgery, we began using INTERCEED in carpal tunnel surgery. In nine patients who underwent division of the flexor retinaculum combined with epineurotomy or synovialectomy, we covered the median nerve with a monolayer of INTERCEED. According to our good experiences concerning handling, compatibility and recovery, the application of INTERCEED might potentially reduce the recurrence rate in carpal tunnel surgery.