ARTICLES ON SAFETY AND STERILITY

 

Evaluating the Safety of the Hand Surgery Procedure Room: A Single-Center Cohort of 1,404 Surgical Encounters

This article reviews surgery in an out-patient procedure room rather than an operating room. In this study there were no major intraoperative surgical or medical complications. There was a low rate of infection, development of complete regional pain syndrome, and a low need for revision surgery. This study supports the safety of hand surgery in an out-patient procedure room that patient safety is not a barrier to performing minor hand surgery in the outpatient procedure room setting.

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Is Operating Room Sterility Necessary for Carpal Tunnel Surgery?

This article compared carpal tunnel surgery done in a hospital operating room to surgery performed in a procedure room under local anesthesia and standard field draping (sterile draping with towels).  The study showed that in over 1504 patients done in a procedure room the deep infection rate was 0% and the superficial infection rate was 0.4%. No different than surgery in a full operating room.

Procedure Room vs Operating Room CTR Safety


Comparison of Complication Risk Following Trigger Digit Release Performed in the Office Versus the Operating Room: A Population-Based Assessment

This article compares trigger finger release in an office-based procedure room versus the operating room. The study concluded that performing trigger finger release in an office-based procedure room under local anesthesia was associated with a comparably low risk of major medical complications, surgical complicatios, and iatrogenic complications.

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ARTICLES ON CARPAL TUNNEL SYNDROME & RELEASE

 

Ultrasound Guided CTR vs Open Carpal Tunnel Release – Safety and Return to Activities

This article compared carpal tunnel surgery done in a hospital operating room to surgery performed in a procedure room under local anesthesia and standard field draping (sterile draping with towels).  The study showed that in over 1504 patients done in a procedure room the deep infection rate was 0% and the superficial infection rate was 0.4%. No different than surgery in a full operating room.

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Use of Ultrasound in Patients with Carpal Tunnel Syndrome: A Cost-Effective Solution to Reduce Delays in Surgical Care

This study reviewed the use of diagnostic ultrasound of the carpal tunnel to confirm carpal tunnel syndrome compared to EMG/NCS.

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Variations in the Anatomy of the Third Common Digital Nerve and Landmarks to Avoid Injury to the Third Common Digital Nerve with Carpal Tunnel Release

This study reviewed the common anatomic variations in the 3rd common digital nerve as well as associated anatomic landmarks to predict the origin and course of the nerve to allow the surgeon to minimize risk to this important structure.

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Use of Ultrasound in Patients with Carpal Tunnel Syndrome: A Cost-Effective Solution to Reduce Delays in Surgical Care

This study reviewed the use of diagnostic ultrasound of the carpal tunnel to confirm carpal tunnel syndrome compared to EMG/NCS.

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ARTICLES ON TRIGGER FINGER RELEASE

 

Percutaneous release of the trigger finger: An Office Procedure

This article introduces the technique of percutaneous trigger finger release in the office.

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Cost of Immediate Surgery Versus Non-operative Treatment for Trigger Finger in Diabetic Patients

Management of diabetic trigger finger with immediate surgical release in the clinic is the most cost-effective treatment strategy, assuming a corticosteroid injection failure rate of 34%.

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Trigger Digits: Principles, Management, and Complications

A summary of the pathomechanics, risk factors, and varied treatments for trigger finger.

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Safety and Efficacy of Percutaneous Trigger Finger Release

Clinical and anatomy study demonstrating the safety and efficacy of percutaneous trigger release.

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Percutaneous release of the trigger finger: An Office Procedure

This article introduces the technique of percutaneous trigger finger release in the office.

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Injection Versus Surgery in the Treatment of Trigger Finger

This article reviews clinical and other deciding factors in choosing injection and surgery in the treatment of trigger finger. Patient data from the study supports the reasonable choice of surgical trigger finger release after one failed steroid injection.

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Percutaneous Release of Trigger Digit with and without Cortisone Injection

This article reviews use of an 18 gauge needle for percutaneous trigger finger release with an without use of a steroid injection.

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Revision of Incompletely Released Trigger Fingers by Percutaneous Release: Results and Complications

This article shows A1 pulley release is an effective, safe, and convenient technique for the primary trigger finger and as a secondary procedure for patients who have residual triggering after the initial surgical procedure.

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Percutaneous Release of the A1 Pulley: A Cadaver Study

Percutaneous relase of the A1 pulley using a #15 blade was associated with good efficacy and an acceptable margin of safety in this series.

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Long-Term Effectiveness of Corticosteroid Injections for Trigger Finger and Thumb

This article discusses the effective first-line intervention for the treatment of trigger finger. At long-term follow-up, the success incidence may be as high as 69%.

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Long-Term Effectiveness of Repeat Corticosteroid Injections for Trigger Finger

This article reviews the long-term success of repeat steroid injections for trigger fingers and to identify the predictors of treatment outcomes.

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Factors Causing Prolonged Postoperative Symptoms Despite Absence of Complications After A1 Pulley Release for Trigger Finger

This study investigates the incidence and prognostic factors for prolonged postoperative symptoms after open A1 pulley release in patients with trigger fingers, despite absence of any complications.

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Percutaneous Release of the Finger Joints and Mini-Open Intrinsic Release with Tenolysis: A Cadaveric Study

This article reviews the effectiveness and safety of minimally invasive distal intrinsic release and extensor tenolysis combined with percutaneous release of proximal and distal interphalangeal joint collateral ligaments.

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The Impact of Smoking on Early Postoperative Complications in Hand Surgery

Smoking is a prevalent modifiable risk factor that has been associated with adverse postoperative outcome across numerous surgical specialties.  This study examined the impact of smoking on 30-day complications in patients undergoing hand surgery procedures.

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Evaluating the Safety of the Hand Surgery Procedure Room: A Single-Center Cohort of 1,404 Surgical Encounters

This article reviews surgery in an out-patient procedure room rather than an operating room. In this study there were no major intraoperative surgical or medical complications. There was a low rate of infection, development of complete regional pain syndrome, and a low need for revision surgery. This study supports the safety of hand surgery in an out-patient procedure room that patient safety is not a barrier to performing minor hand surgery in the outpatient procedure room setting.

View article


Comparison of Complication Risk Following Trigger Digit Release Performed in the Office Versus the Operating Room: A Population-Based Assessment

This article compares trigger finger release in an office-based procedure room versus the operating room. The study concluded that performing trigger finger release in an office-based procedure room under local anesthesia was associated with a comparably low risk of major medical complications, surgical complicatios, and iatrogenic complications.

View article

 

 

 

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