PREOPERATIVE DIAGNOSIS: Right carpal tunnel syndrome.
POSTOPERATIVE DIAGNOSIS: Right carpal tunnel syndrome.
OPERATION PERFORMED: Neurolysis of the median nerve, right carpal canal.
SURGEON: Michael Jones, M.D.
ANESTHESIA GIVEN: Local sedation.
DESCRIPTION OF OPERATIVE PROCEDURE: After adequate anesthesia was obtained, the patient's right arm was prepped and draped in the usual sterile fashion. After exsanguination with an Esmarch bandage, the tourniquet was inflated to 250 mmHg. At this point, an intrathenar incision was made from the level of the distal palmar crease and in line with the flexion crease. It was carried down to the subcutaneous tissue. The transverse carpal ligament was identified and incised. A hemostat was placed on the ulnar side of the carpal canal. The transverse carpal ligament was lysed from proximal to distal. The forearm fascia was split proximally. The median nerve was neurolysed in its entirety. The floor of the carpal canal was inspected and noted to be free of osteophytes and tumors. The wound was irrigated out and was infiltrated with Marcaine. The skin was then closed with 5-0 nylon sutures. A sterile dressing with a volar splint was applied. The patient was taken from the operating room to the recovery room in good condition.
FINAL DIAGNOSIS: Right carpal tunnel syndrome.
No comments:
Post a Comment