Annales de chirurgie plastique et esthetique
Spontaneous extensor digitorum communis (EDC) tendon rupture is uncommon but easily confusing injury that lead to functional impairment. There is no any strict first-line treatment for nonrheumatoid EDC tendon rupture. We report a kidney transplant recipient with spontaneous rupture of the lateral expansion of the long-finger extensor tendon treate...
International Journal of Surgery Case Reports
• Open rotator cuff repair with the WALANT approach as an effective, cost-saving, safe, simple, and quick. • WALANT technique is an alternative to general and regional anesthesia. • During the COVID-19 pandemic, the WALANT technique has gained popularity.
Journal of Hand Surgery Global Online
Pediatric wide-awake local anesthesia no-tourniquet technique (WALANT) hand surgery is feasible for the treatment of the spectrum of pediatric hand surgeries, which can include traumatic injuries and congenital hand differences. The key component for success is identifying the appropriate patient for this technique, with the typical patient frequen...
British journal of hospital medicine (London, England : 2005)
Wide awake local anaesthesia no tourniquet, also known as WALANT, is the practice of performing surgery under local anaesthetic in the absence of a tourniquet. This technique uses the vasoconstrictive effects of adrenaline and the local anaesthetic effects of lignocaine to establish a Bier block with haemostatic control. Permitting active patient p...
The Journal of hand surgery, European volume
Hand surgery is rapidly changing. The wide-awake approach, minimum dissection surgery and early protected movement have changed many things. This is an update of some of the important changes regarding early protected movement with K-wired finger fracture management, simplification of nerve decompression surgery, such as elbow median and ulnar nerv...
Annals of Medicine and Surgery
• Wide Awake Local Anesthesia No Tourniquet can be used to treat deep hand infections. • In the COVID-19 pandemic alternative ways of providing anesthesia are needed. • Absolute contraindication to the use of WALANT should be reevaluated. • “time is function”, urgent treatment remains key in management of hand infections.
BackgroundThe WALANT (wide-awake local anesthesia with no tourniquet) technique was based on local infiltration of lidocaine and epinephrine. This technique has rapidly gained popularity in recent years and can perform most hand operations. This study aimed to investigate the time spent on anesthesia and operation and perform an economic analysis a...
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
Recently, local anaesthesia has become popular among hand surgeons. We hypothesized that using the "wide awake local anaesthesia no tourniquet" (WALANT) approach would result in lower global costs and in an increase in the operating room (OR)'s efficiency. All cases of carpal tunnel (CTR) and trigger finger releases (TFR) performed over 2016 and 20...
The journal of hand surgery Asian-Pacific volume
Background: To compare outcomes of atraumatic hand surgeries using the WALANT technique versus intravenous regional anesthesia or local anesthesia with tourniquet. Methods: We conducted a comprehensive literature search using PubMed, MEDLINE, Embase, and Cochrane Library from inception to October 2018. All randomized or quasi-randomized trials and ...
Purpose Carpal tunnel release, one of the most commonly performed procedures in Veterans Affairs (VA) medical centers, is often performed under local anesthesia alone. In this patient population, there is an increased prevalence of psychiatric disorders. Our hypothesis is that there is no difference in operating time, request for sedation, or compl...