OUTCOME OF CARPAL TUNNEL SYNDROME OPEN SURGICAL DECOMPRESSION IN MISRATA CENTRAL HOSPITAL DURING THE YEAR OF 2015

Abstract

Carpal tunnel syndrome, the most common peripheral entrapment neuropathy, is caused by compression of median nerve at the wrist. Treatment options include the use of NSAIDs, local steroid injections, night splints, as well as physical therapy and surgical release. The aim of this study was to assess the outcome of surgical decompression via mini-palm incision. A Prospective case series evaluating the outcome of mini-palm incision surgical decompression of carpal tunnel syndrome in Misrata Central Hospital during the year 2015.  51 cases (out of 55 cases operated during the study period) were included in the study, as they committed to follow-up or respond to our calls at two weeks and at three months. The other four cases were excluded, as they neither attended nor responded to our calls at three months. The outcome of treatment was evaluated in terms of wound healing problems, in addition to other possible complications. Patient satisfaction at three months was noted. Complications occurred in three cases; one case showed a minimal improvement of symptoms at two weeks and at six weeks, and was re-operated and incomplete decompression was found. Two cases had developed superficial wound infection that was treated with oral antibiotics and healed with no consequences. 48 cases (94.12%) had no clinically evident complications.

At three months postoperatively, 49 patients (96.08%) indicated that they were happy and satisfied with their surgery results. The patients (3.92%) said that they are fairly satisfied. Open surgical decompression through mini-palm incision is an easy, effective and safe method of treatment as evidenced by the obtained excellent outcomes.