A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Scalpel versus Electrocautery for Surgical Skin Incision in Open Carpal Tunnel Release
Tekijät: Tanskanen Tuukka J, Ryhänen Jorma O, Pääkkkönen Markus JI
Kustantaja: WORLD SCIENTIFIC PUBL CO PTE LTD
Julkaisuvuosi: 2023
Journal: Journal of Hand Surgery (Asian-Pacific Volume)
Tietokannassa oleva lehden nimi: JOURNAL OF HAND SURGERY-ASIAN-PACIFIC VOLUME
Lehden akronyymi: J HAND SURG-ASIAN-PA
Vuosikerta: 38
Numero: 3
Aloitussivu: 321
Lopetussivu: 326
Sivujen määrä: 6
ISSN: 2424-8355
DOI: https://doi.org/10.1142/S2424835523500339
Verkko-osoite: https://doi.org/10.1142/S2424835523500339
Background: Electrocautery is an option for skin incision for the neck, abdominal or inguinal surgery, but is not generally used for hand surgery. The aim of this study was to clarify whether electrocautery skin incision would be beneficial in open carpal tunnel release (OCTR).
Methods: A total of 16 patients with carpal tunnel syndrome underwent skin incision for OCTR using either a scalpel (n = 9) or a microdissection diathermy needle (n = 7). Postoperative pain was assessed using a visual analogue scale (VAS 0–100 mm) daily from postoperative days 1 till 7.
Results: The diathermy group reported higher VAS scores (mean 80 mm) on the first postoperative day versus the scalpel group mean of 35 mm (p < 0.001). We continued measuring pain for 7 days after the surgery and found higher VAS scores for the diathermy group in the first 6 days.
Conclusions: The use of electrocautery is associated with greater pain score in the first postoperative 6 days following OCTR.
