Surgical decompression of the median nerve at the carpal tunnel under local anesthesia and without tourniquet.

Abstract

Surgical decompression of the median nerve at the carpal tunnel is one of the most common surgical procedures in hand surgery. This nerve decompression is most often performed under non-adrenalized local anesthesia and with a tourniquet. The purpose of our work was to present two cases of surgical decompression of the median nerve at the carpal tunnel without tourniquet with adrenalized lidocaine infiltration and to review the literature. It appears from this review that decompression of the median nerve at the carpal tunnel without tourniquet with adrenaline lidocaine infiltration can be safely performed