Single-center experience of cubital tunnel syndrome surgery performing transposition or internal neurolysis with external decompression under regional intravenous anesthesia technique

Ali Güler

Makale detayları

Single-center experience of cubital tunnel syndrome surgery performing transposition or internal neurolysis with external decompression under regional intravenous anesthesia technique

Yazarlar:

Ali Güler

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Beyin ve Sinir Cerrahisi (Nöroşirurji)

Dergi:

Anatolian Current Medical Journal Vol.5 Issue 4, pp.438-444

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001302549

pISSN:

2718-0115

Anahtar kelimeler:

Özet:

 Aims: To share the 7-year experience of a single center in the application of regional intravenous anesthesia RIVA for surgical treatment of cubital tunnel syndrome CTS caused by compression of the ulnar nerve in the elbow region. Methods: A total of 100 patients with CTS who were operated with the RIVA technique at a single center between 2012 and 2019 were retrospectively analyzed. In the RIVA technique, after providing venous drainage in the operated side arm, the double cuff tourniquet was inflated in the upper arm, and anesthesia was provided by administering a 30-40 mL solution of 2 lidocaine 3 mgkg diluted in 1 saline through the intravenous catheter. The surgical methods applied transposition or internal neurolysis with external decompression, demographic data, preoperative and postoperative visual analog scale VAS scores for pain were compared. Results: Out of 100 patients, 30 patients underwent surgical transposition group 1 while internal neurolysis with external decompression was performed in 70 patients group 2. The mean age of patients in groups 1 and 2 was 66.312.1 and 60.611.7 years, respectively. Women accounted for 73.3 of patients in group 1 and 87.1 of patients in group 2. The left side was affected in 18 60 patients in group 1 and 42 60 patients in group 2. In group 1, the mean postoperative 3rd-week VAS score 1.960.76 was significantly lower than the mean preoperative VAS score 7.460.93; p0.001. Similarly, in group 2, the mean postoperative 3rd-week VAS score 1.840.62 was significantly lower than the mean preoperative VAS score 7.450.87; p0.001. There was no significant between-group difference with respect to preoperative or postoperative 3rd-week VAS scores. Conclusion: In the presence of technical infrastructure, the RIVA method can be preferred in the surgical treatment of CTS.

 Aims: To share the 7-year experience of a single center in the application of regional intravenous anesthesia RIVA for surgical treatment of cubital tunnel syndrome CTS caused by compression of the ulnar nerve in the elbow region. Methods: A total of 100 patients with CTS who were operated with the RIVA technique at a single center between 2012 and 2019 were retrospectively analyzed. In the RIVA technique, after providing venous drainage in the operated side arm, the double cuff tourniquet was inflated in the upper arm, and anesthesia was provided by administering a 30-40 mL solution of 2 lidocaine 3 mgkg diluted in 1 saline through the intravenous catheter. The surgical methods applied transposition or internal neurolysis with external decompression, demographic data, preoperative and postoperative visual analog scale VAS scores for pain were compared. Results: Out of 100 patients, 30 patients underwent surgical transposition group 1 while internal neurolysis with external decompression was performed in 70 patients group 2. The mean age of patients in groups 1 and 2 was 66.312.1 and 60.611.7 years, respectively. Women accounted for 73.3 of patients in group 1 and 87.1 of patients in group 2. The left side was affected in 18 60 patients in group 1 and 42 60 patients in group 2. In group 1, the mean postoperative 3rd-week VAS score 1.960.76 was significantly lower than the mean preoperative VAS score 7.460.93; p0.001. Similarly, in group 2, the mean postoperative 3rd-week VAS score 1.840.62 was significantly lower than the mean preoperative VAS score 7.450.87; p0.001. There was no significant between-group difference with respect to preoperative or postoperative 3rd-week VAS scores. Conclusion: In the presence of technical infrastructure, the RIVA method can be preferred in the surgical treatment of CTS.

 Aims: To share the 7-year experience of a single center in the application of regional intravenous anesthesia RIVA for surgical treatment of cubital tunnel syndrome CTS caused by compression of the ulnar nerve in the elbow region. Methods: A total of 100 patients with CTS who were operated with the RIVA technique at a single center between 2012 and 2019 were retrospectively analyzed. In the RIVA technique, after providing venous drainage in the operated side arm, the double cuff tourniquet was inflated in the upper arm, and anesthesia was provided by administering a 30-40 mL solution of 2 lidocaine 3 mgkg diluted in 1 saline through the intravenous catheter. The surgical methods applied transposition or internal neurolysis with external decompression, demographic data, preoperative and postoperative visual analog scale VAS scores for pain were compared. Results: Out of 100 patients, 30 patients underwent surgical transposition group 1 while internal neurolysis with external decompression was performed in 70 patients group 2. The mean age of patients in groups 1 and 2 was 66.312.1 and 60.611.7 years, respectively. Women accounted for 73.3 of patients in group 1 and 87.1 of patients in group 2. The left side was affected in 18 60 patients in group 1 and 42 60 patients in group 2. In group 1, the mean postoperative 3rd-week VAS score 1.960.76 was significantly lower than the mean preoperative VAS score 7.460.93; p0.001. Similarly, in group 2, the mean postoperative 3rd-week VAS score 1.840.62 was significantly lower than the mean preoperative VAS score 7.450.87; p0.001. There was no significant between-group difference with respect to preoperative or postoperative 3rd-week VAS scores. Conclusion: In the presence of technical infrastructure, the RIVA method can be preferred in the surgical treatment of CTS.

 Amaç: Ulnar sinirin dirsek bölgesinde sıkışması sonucu oluşan kübital tünel sendromunun KTS cerrahi tedavisinde rejyonel intravenöz anestezi RIVA uygulamasında tek merkezin 7 yıllık deneyimini paylaşmak. Gereç ve yöntem: 2012-2019 yılları arasında tek merkezde RIVA tekniği ile opere edilen KTSli toplam 100 hasta retrospektif olarak incelendi. RIVA tekniğinde ameliyatlı kolda venöz drenaj sağlandıktan sonra üst kolda çift manşonlu turnike şişirilerek 2lik lidokain 3 mgkg solüsyonunda seyreltilmiş 30-40 mLlik solüsyon verilerek anestezi sağlandı. İntravenöz kateter yoluyla 1 salin. Uygulanan cerrahi yöntemler transpozisyon veya eksternal dekompresyon ile internal nöroliz, demografik veriler, preoperatif ve postoperatif ağrı için görsel analog skala VAS skorları karşılaştırıldı. Bulgular: 100 hastanın 30una cerrahi transpozisyon grup 1, 70 hastaya grup 2 eksternal dekompresyon ile internal nöroliz uygulandı. Grup 1 ve 2deki hastaların yaş ortalaması sırasıyla 66,312,1 ve 60,611,7 idi. Grup 1deki hastaların 73,3ünü, grup 2deki hastaların 87,1ini kadınlar oluşturuyordu. Grup 1de 18 60, grup 2de 42 60 hastada sağ taraf etkilenmişti. Grup 1de ortalama postoperatif 3. hafta VAS skoru 1,960,76, preoperatif ortalama VAS skorundan 7,460,93; p0,001 anlamlı derecede düşüktü. Benzer şekilde grup 2de ameliyat sonrası 3. hafta ortalama VAS skoru 1,840,62, ameliyat öncesi ortalama VAS skorundan 7,450,87; p0,001 anlamlı derecede düşüktü. Ameliyat öncesi ve sonrası 3. hafta VAS skorları açısından gruplar arasında anlamlı fark yoktu. Sonuç: KTSnin cerrahi tedavisinde teknik alt yapı varlığında RIVA yöntemi tercih edilebilir.

Makale detayları

Single-center experience of cubital tunnel syndrome surgery performing transposition or internal neurolysis with external decompression under regional intravenous anesthesia technique

Yazarlar:

Ali Güler

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Beyin ve Sinir Cerrahisi (Nöroşirurji)

Dergi:

Anatolian Current Medical Journal Vol.5 Issue 4, pp.438-444

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001302549

pISSN:

2718-0115

Ulnar nerve

decompression

RIVA

VASUlnar sinir

dekompresyon

RİVA

VAS.

Sayı

Makale detayları

Yazarlar: Ali Güler

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Beyin ve Sinir Cerrahisi (Nöroşirurji)

Dergi: Anatolian Current Medical Journal Vol.5 Issue 4, pp.438-444

Belge Tipi: Makale

Yayın Tarihi: 10/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001302549

pISSN: 2718-0115

Sayı

Yazarlar:

Ali Güler

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Beyin ve Sinir Cerrahisi (Nöroşirurji)

Dergi:

Anatolian Current Medical Journal Vol.5 Issue 4, pp.438-444

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001302549

pISSN:

2718-0115