Is office-based surgery the future of surgery? While hospitals are saturated, some specialties are interested in adapting their outpatient interventionalso known as “Office Surgery”. In late October, the National College of Surgeons convened experts to promote the practice, especially for those with “Small” hand operation. The advantages are many: Reduce stressreduce the risk of hospital infection, Relieve hospital services and reducing social security costs… carpal tunnel syndrome It’s one of those diseases that can be cured today in just 30 minutes in the city.
The message will reassure those suffering from this pain. 2022, 124,000 French people underwent surgery for the syndrome. It is characterized by nerve compression in the wrist: median nerve. All sensation in the hands and fingers is transmitted through this nerve.
This compression will produce Tinglingpain, loss of sensitivity and strength in fingers. The peculiarity of this pathology is Symptoms appear at night.
According to the French Public Health Service, the syndrome appears to be The second pathology is recognized as an occupational disease. The disease is apparently more common in women, 61% Surgical intervention for them in 2022.
Provide patients with more comfortable surgeries
Before talking about surgery, doctors recommend Stop repetitive actions This is part of the risk factor. Wearing a splint, Take analgesic treatment and cortisone injections as first-line treatment. Only when all these treatments fail does an orthopedic surgeon recommend surgery.
Now, there’s a new way to treat this syndrome. “The surgeon receives you in his operating room Consulting roomgive your wrist a local anesthetic, cut the skin, and slide a type of knife to cut through the fibrous band guided by ultrasound machineremove the knife and close the incision,” explained French information Dr. Alexandre Laborde is a plastic surgeon at the Beausoleil Clinic in Montpellier.
The operation time is short and you can go home immediately
So far, Surgery is strictly performed in the operating room Apply local anesthesia to the entire arm in the presence of an anesthesiologist. Under endoscopysurgeon performs Incision and severing fibrous tape to reduce nerve compression. Fairly quick procedure, but type of anesthesia required outpatient care All day long.
patient arrives in the morning medical consultation Evaluate with the anesthesiologist whether stop certain treatments is necessary. The patient must Arrive on an empty stomach. he then wait a long time Before going home at night, my arm was still a little numb.
Reduce anxiety, cost and carbon impact
Through outpatient surgery, All these restrictions disappearallowing patients toIncrease comfort and reduce anxiety Operating room and hospital induced.
“Office surgery” greatly reduces the economic cost of this type of surgery. According to a study scientific direct Published in December 2019, Average cost of care Carpal tunnel surgery in the endoscopic operating room is estimated to be 1.8 and 2.8 times higher Better than treatment at the city hall.
“more than 100 million euros have been spent so far Once a year, the only surgical treatment for carpal tunnel syndrome. This study shows Clinical pathway optimization and patient flow Can be modified Use new methods. Office patient care Care pathways will be optimized The study’s authors concluded: “As costs decrease.”
