MINIMALLY INVASIVE SURGERY FOR CARPEL TUNNEL SYNDROME

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A new minimally invasive surgery in a mission hospital

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MINIMALLY INVASIVE SURGERY FOR CARPEL TUNNEL SYNDROME:

MINIMALLY INVASIVE SURGERY FOR CARPEL TUNNEL SYNDROME A new cost - effective method, using Urology instruments Dr. J. Gnanaraj MS, MCh, FICS, FIAGES , FARSI

CARPEL TUNNEL SYNDROME :

CARPEL TUNNEL SYNDROME Entrapment idiopathic median neuropathy Median nerve compression in the carpel tunnel at the wrist

CAUSES:

CAUSES Typing Genetic Sewing Vibratory tools

Symptoms:

Symptoms Numbness Weakness Pain Depression

Signs :

Signs Weak hand grip Tinel’s sign: Tapping over the median nerve in the wrist causes shooting pain Phalen’s test: bending forward for 1 minute causes numbness

Investigations :

Investigations Nerve conduction studies Electromyography Wrist X rays

Treatment – Conservative :

Treatment – Conservative Steroid injections Ultrasound therapy Special devices Medication { NSAID }

Surgical treatment :

Surgical treatment Open surgical release Newer endoscopic surgical procedures with special equipment

The innovation :

The innovation

The innovation :

The innovation Using Internal urethrotomy instruments Haegars dilator was used to initial dilation and air was used from the insufflator

The conclusion :

The conclusion Minimally invasive procedure Uses less expensive Urology equipment [which is primarily used for other surgeries}

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