Modified mini-incision surgery for carpal tunnel syndrome: Results of 131 interventions

DOI: 10.4328/JCAM.5751 Received: 03.02.2018 Accepted: 05.03.2018 Published Online: 09.03.2018 Printed: 01.09.2018 J Clin Anal Med 2018;9(5): 381-5 Corresponding Author: Ziya Asan, Department of Neurosurgery. Faculty of Medicine. Ahi Evran University, 40100, Kirsehir, Turkey. GSM: +905336502641 F.: +90 3862803917 E-Mail: ziyaasan@gmail.com ORCID ID: 0000-0001-8468-9156 Abstract Aim: The aim was the presentation of results from 131 interventions in which a quick and practical modified surgical approach was applied in carpal tunnel syndrome surgery. Material and Method: In total, 131 surgical interventions were made in 121 cases. 22 cases were male, 99 cases were female. Boston Carpal Tunnel Syndrome Questionnaire scores were obtained on the postoperative 12th-14th day and compared with the preoperative scores. All cases were performed with local anesthesia. In all cases, surgical equipment consisted of one no-15-blade, one automatic retractor, and one 45 cm prolene 3-0. Results: According to EMG results, 71 patients had severe, 49 patients had moderate, and 11 patients had moderate-mild carpal tunnel syndrome. The average time for the surgery was 7.2 minutes. During surgery, one automatic retractor was used, and manipulations that shorten the time of surgery and increase surgical safety have been described. The average incision length was 1.5-2 cm. Subcuticular skin suture was not performed. The stitches were removed on the 12th postoperative day. Seven cases presented wound site inflammation. Relapse in the latter course was not encountered in any case. Discussion: The method described as a modification of mini-incision surgery is thought to be reliable, comfortable, and cost-effective. Use of an automatic retractor considerably shortens surgical time and facilitates surgery. Not performing subcuticular suture reduces the probability of relapse. In cases with a high risk factor for infection, treatment of the wound site requires further care.