Patients' perspective of wide-awake hand surgery: 100 consecutive cases

TY - JOUR

T1 - Patients' perspective of wide-awake hand surgery

T2 - 100 consecutive cases

AU - Teo, I.

AU - Lam, W.

AU - Muthayya, P.

AU - Steele, K.

AU - Alexander, S.

AU - Miller, G.

PY - 2013/11

Y1 - 2013/11

N2 - The wide-awake hand surgery (WAHS) technique involves injecting lidocaine with adrenaline for hand surgical procedures that are done without the use of tourniquets, sedation, regional or general anaesthetic. This is a retrospective review of the first 100 consecutive patients who underwent operations using this technique at our centre. The operations included carpal and cubital tunnel decompression, trapeziectomy, tendon transfer, and tenolysis. A questionnaire adapted from Lalonde's previous work on wide-awake surgery was used to assess patients' experiences. Sixty-five percent of the patients responded to the postal questionnaire, the majority reporting a high satisfaction level. Ninety-one percent of responders reported that the operation was less painful or comparable with a procedure at the dentist; 86% would prefer to be wide-awake if they needed to have hand surgery again, and 90% stated they would recommend WAHS to a friend.

AB - The wide-awake hand surgery (WAHS) technique involves injecting lidocaine with adrenaline for hand surgical procedures that are done without the use of tourniquets, sedation, regional or general anaesthetic. This is a retrospective review of the first 100 consecutive patients who underwent operations using this technique at our centre. The operations included carpal and cubital tunnel decompression, trapeziectomy, tendon transfer, and tenolysis. A questionnaire adapted from Lalonde's previous work on wide-awake surgery was used to assess patients' experiences. Sixty-five percent of the patients responded to the postal questionnaire, the majority reporting a high satisfaction level. Ninety-one percent of responders reported that the operation was less painful or comparable with a procedure at the dentist; 86% would prefer to be wide-awake if they needed to have hand surgery again, and 90% stated they would recommend WAHS to a friend.

UR - https://www.scopus.com/pages/publications/84886775270

U2 - 10.1177/1753193412475241

DO - 10.1177/1753193412475241

M3 - Article

C2 - 23348603

AN - SCOPUS:84886775270

SN - 1753-1934

VL - 38

SP - 992

EP - 999

JO - Journal of Hand Surgery (European Volume)

JF - Journal of Hand Surgery (European Volume)

IS - 9

ER -