Ulnar nerve transposition at the elbow under local anesthesia: a patient satisfaction study

Roberti del Vecchio, Pietro M; Christen, Thierry; Raffoul, Wassim; Erba, Paolo (2015). Ulnar nerve transposition at the elbow under local anesthesia: a patient satisfaction study. Journal of reconstructive microsurgery, 31(3), pp. 187-190. Thieme 10.1055/s-0034-1394159

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BACKGROUND Ulnar nerve decompression at the elbow traditionally requires regional or general anesthesia. We wished to assess the feasibility of performing ulnar nerve decompression and transposition at the elbow under local anesthesia. METHODS We examined retrospectively the charts of 50 consecutive patients having undergone ulnar nerve entrapment surgery either under general or local anesthesia. Patients were asked to estimate pain on postoperative days 1 and 7 and satisfaction was assessed at 1 year. RESULTS On day 1, pain was comparable among all groups. On day 7, pain scores were twice as high when transposition was performed under general anesthesia when compared with local anesthesia. Patient satisfaction was slightly increased in the local anesthesia group. These patients were significantly more willing to repeat the surgery. CONCLUSION Ulnar nerve decompression and transposition at the elbow can be performed under local anesthesia without added morbidity when compared with general anesthesia.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)

UniBE Contributor:

Erba, Paolo

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1098-8947

Publisher:

Thieme

Language:

English

Submitter:

Markus Huth

Date Deposited:

02 Mar 2016 13:52

Last Modified:

06 Mar 2016 19:10

Publisher DOI:

10.1055/s-0034-1394159

PubMed ID:

25360859

BORIS DOI:

10.7892/boris.76317

URI:

https://boris.unibe.ch/id/eprint/76317

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