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A U G U S T 2 0 1 4 | S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E
through 1 or 2 incisions. Clinical research has
yet to identify one approach as better than
the other, so surgeons should perform the
technique they're most comfortable with.
Most opt for a limited open technique, which
involves a small palm approach through a
less-than-1-inch incision.
Whether performed open or endoscopically,
the surgery involves releasing the transverse
carpal ligament to relieve pressure on the
median nerve. The outcomes are essentially
the same following either technique, although
some studies have suggested a patient's
return to work is slightly faster following
endoscopic procedures. Additionally, risk of
injury to the median nerve is slightly higher,
but still relatively rare, if the procedure is per-
formed endoscopically. Perioperative patient
care is the same for both approaches.
• Lateral epicondylitis
— tennis elbow — is
another common injury cared for in the outpa-
U P P E R E X T R E M I T I E S
Pamela
Bevelhymer,
RN,
BSN
AROUND THE BLOCK Regional anesthesia is
key to keeping the surgical schedule on track.
Pamela
Bevelhymer,
RN,
BSN
