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  • Writer's pictureRavi Mallina

Endoscopic Carpal Tunnel Release

Capral tunnel compression of the median nerve is a common condition affecting one or both hands resulting in altered sensation of the thumb, index and middle fingers(please see the section on carpal tunnel compression/syndrome). Once non-operative measures have been exhausted, surgery is the last resort. Routinely, carpal tunnel release is performed via open method resulting in a scar over the palm(fig 1) that can be tender for 6 to 8 weeks after surgery.

carpal tunnel decompression scar
Fig 1

Endoscopic carpal tunnel release, also referred as key hole carpal tunnel surgery is a minimally invasive surgical technique, an alternative to open carpal tunnel surgery.

The incision is centred just around the wrist crease away from the sensitive portion of the palm(fig 2).

Endoscopic Carpal Tunnel Release Incision
Fig 2

How is Endoscopic Carpal Tunnel Release performed ?

A small camera with a blade is passed from the wrist crease into the palm and once the position is confirmed on the monitor(fig 3) the blade is deployed and the ligament pressing the nerve is cut. The procedure is performed under local anaesthesia and the patient is fully awake during surgery. Procedure typically lasts approximately 10 to 15 minutes, and a small dressing is applied after surgery.

Endoscopic carpal tunnel release camera view
Fig 3

What is the advantage of Endoscopic Carpal Tunnel Release ?

The advantage of this technique is early return to work and functional activities, and less scar pain. The procedure is beneficial for patients suffering from carpal tunnel compression on both hands, as endoscopic carpal tunnel release can be performed simultaneously in a single hospital visit, with the scar away from the palm(fig 4).

Endoscopic carpal tunnel release scar
Fig 4

“ I am amazed. Within a week of the surgery I had full movement in my hand and very little discomfort. Working with my hands every day, I was worried about the impact of having surgery on my ability to work as self-employed hair dresser, and in a fortnight I am back at work.” Ms D - Endoscopic Carpal Tunnel Release Patient

Please get in touch via the contact section to arrange a consultation to discuss further about this technique.

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