{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T08:43:02Z","timestamp":1768466582065,"version":"3.49.0"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T00:00:00Z","timestamp":1648166400000},"content-version":"vor","delay-in-days":509,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,11,15]],"date-time":"2020-11-15T00:00:00Z","timestamp":1605398400000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>\n          Background  The aim of this study was to analyze the clinical results of minimal single palmar-incision carpal tunnel release without a tourniquet.<\/jats:p><jats:p>\n          Methods  We reviewed the medical records of 75 patients (90 cases of carpal tunnel syndrome) who underwent minimal single-palmar incision carpal tunnel release without a tourniquet from June 2010 to January 2018. Ten patients had a bleeding tendency. We compared the preoperative and postoperative Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) scores. We also analyzed outcomes and complications according to the presence of a bleeding tendency.<\/jats:p><jats:p>\n          Results  In all cases, there was a complete disappearance or marked improvement in symptoms within 6 months, with no recurrence. The postoperative BCTQ score showed a significant improvement compared to the preoperative score, and no statistically significant difference in BCTQ scores was detected according to the presence of a bleeding tendency.<\/jats:p><jats:p>\n          Conclusions  Carpal tunnel release without a tourniquet using a minimal single palmar incision is effective and reliable. This technique prevents unnecessary pain associated with the tourniquet and is especially helpful in patients with a bleeding tendency or those treated with hemodialysis.<\/jats:p>","DOI":"10.5999\/aps.2020.01732","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T01:24:49Z","timestamp":1605835489000},"page":"597-603","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Open carpal release using local anesthesia without a tourniquet: Does bleeding tendency affect the outcome?"],"prefix":"10.1055","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9723-3537","authenticated-orcid":false,"given":"Seongwon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8739-908X","authenticated-orcid":false,"given":"Sangho","family":"Oh","sequence":"additional","affiliation":[{"name":"W-Hospital, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4653-1048","authenticated-orcid":false,"given":"Daegu","family":"Son","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,25]]},"reference":[{"key":"ref1","first-page":"905","article-title":"The principle of decompression in the treatment of certain diseases of peripheral nerves","volume":"13","author":"JR Learmonth","year":"1933","journal-title":"Surg Clin North Am"},{"key":"ref2","first-page":"79","article-title":"Carpal tunnel release with minimal single palmar incision","volume":"13","author":"YJ Sur","year":"2008","journal-title":"J Korean Soc Surg Hand"},{"key":"ref3","first-page":"222","article-title":"The impact of tourniquet on patient satisfaction in carpal tunnel decompression","volume":"2","author":"K Nagpal","year":"2007","journal-title":"Cent Eur J Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1055\/s-2007-1006856","article-title":"Carpal tunnel syndrome in long-term hemodialyzed patients","volume":"5","author":"M Corradi","year":"1989","journal-title":"J Reconstr Microsurg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1055\/s-0037-1603200","article-title":"Open carpal tunnel release outcomes: performed wide awake versus with sedation","volume":"9","author":"JE Tulipan","year":"2017","journal-title":"J Hand Microsurg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s11552-012-9474-5","article-title":"The patient\u2019s perspective on carpal tunnel surgery related to the type of anesthesia: a prospective cohort study","volume":"8","author":"PG Davison","year":"2013","journal-title":"Hand (N Y)"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"312","DOI":"10.5999\/aps.2014.41.4.312","article-title":"Tumescent local anesthesia for hand surgery: improved results, cost effectiveness, and wide-awake patient satisfaction","volume":"41","author":"D Lalonde","year":"2014","journal-title":"Arch Plast Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.2106\/00004623-199311000-00002","article-title":"A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome","volume":"75","author":"DW Levine","year":"1993","journal-title":"J Bone Joint Surg Am"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1002\/1097-4598(200008)23:8<1280::AID-MUS20>3.0.CO;2-Y","article-title":"A neurophysiological grading scale for carpal tunnel syndrome","volume":"23","author":"JD Bland","year":"2000","journal-title":"Muscle Nerve"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"350","DOI":"10.5999\/aps.2018.00535","article-title":"Effectiveness of mini-open carpal tunnel release: an outcome study","volume":"46","author":"LR van den Broeke","year":"2019","journal-title":"Arch Plast Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"474","DOI":"10.5999\/aps.2017.00724","article-title":"Recurrent carpal tunnel syndrome associated with extension of flexor digitorum muscle bellies into the carpal tunnel: a case series","volume":"45","author":"R Castillo","year":"2018","journal-title":"Arch Plast Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1054\/JHSB.1999.0243","article-title":"Failed endoscopic carpal tunnel release: operative findings and results of open revision surgery","volume":"24","author":"SE Varitimidis","year":"1999","journal-title":"J Hand Surg Br"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/S0266-7681(05)80056-7","article-title":"Risk and complications in endoscopic carpal tunnel release","volume":"20","author":"K Shinya","year":"1995","journal-title":"J Hand Surg Br"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/0363-5023(94)90234-8","article-title":"Minimal-incision open carpal tunnel decompression","volume":"19","author":"GS Bromley","year":"1994","journal-title":"J Hand Surg Am"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"327","DOI":"10.5999\/aps.2015.42.3.327","article-title":"Surgical treatment of carpal tunnel syndrome through a minimal incision on the distal wrist crease: an anatomical and clinical study","volume":"42","author":"HM Yoo","year":"2015","journal-title":"Arch Plast Surg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/0266-7681(93)90055-K","article-title":"An open twin incision technique of carpal tunnel decompression with reduced incidence of scar tenderness","volume":"18","author":"A Biyani","year":"1993","journal-title":"J Hand Surg Br"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/0363-5023(94)90088-4","article-title":"Double incision open technique for carpal tunnel release: an alternative to endoscopic release","volume":"19","author":"KM Wilson","year":"1994","journal-title":"J Hand Surg Am"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/S0749-0712(01)00012-9","article-title":"Pathophysiology of nerve compression","volume":"18","author":"SE Mackinnon","year":"2002","journal-title":"Hand Clin"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1097\/PRS.0000000000006549","article-title":"Carpal tunnel release without a tourniquet: a systematic review and meta-analysis","volume":"145","author":"OR Olaiya","year":"2020","journal-title":"Plast Reconstr Surg"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/1558944718787853","article-title":"Tourniquet use in wide-awake carpal tunnel release","volume":"15","author":"SE Sasor","year":"2020","journal-title":"Hand (N Y)"},{"key":"ref21","first-page":"629","article-title":"Reduced pain when injecting lidocaine","volume":"137","author":"V Finsen","year":"2017","journal-title":"Tidsskr Nor Laegeforen"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1177\/229255030401200303","article-title":"Ketamine-diazepam protocol for intravenous sedation: the cosmetic surgery hospital experience","volume":"12","author":"A Quttainah","year":"2004","journal-title":"Can J Plast Surg"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/S0363-5023(89)80098-X","article-title":"Upper extremity entrapment neuropathy and tourniquet use in patients undergoing hemodialysis","volume":"14","author":"NB Semer","year":"1989","journal-title":"J Hand Surg Am"},{"key":"ref24","first-page":"1181","article-title":"Extended open-carpal tunnel release in renal dialysis patients","volume":"23","author":"S Al-Benna","year":"2012","journal-title":"Saudi J Kidney Dis Transpl"}],"updated-by":[{"DOI":"10.5999\/aps.2021.00087","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:00:00Z","timestamp":1610668800000}}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-aps.org\/upload\/pdf\/aps-2020-01732.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-aps.org\/journal\/view.php?doi=10.5999\/aps.2020.01732","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2020.01732.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T11:48:16Z","timestamp":1730807296000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2020.01732"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":24,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,3,25]]},"published-print":{"date-parts":[[2020,11]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2020.01732","archive":["Portico","CLOCKSS"],"relation":{"correction":[{"id-type":"doi","id":"10.5999\/aps.2021.00087","asserted-by":"object"}]},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11]]},"assertion":[{"value":"2020-09-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}