WALANT hand surgery: personal experience of 1000 surgeries
https://doi.org/10.52581/1814-1471/94/10
Abstract
Wide Awake Local Anaesthetic No Tourniquet (WALANT) a relatively new method of anesthesia in hand surgery. A brief explanation of WALANT technique and our experience are described in the article.
Purpose of a study: to present a brief description of the WALANT method and to analyze the experience of using local anesthesia without a tourniquet and sedation in hand surgery.
Material and methods. A total of 996 surgeries were performed under local anesthesia. For local anesthesia in a small out patient operating room, the authors used a 0.6% lidocaine solution with adrenaline at a 1:100,000 dilution. The injection is administered slowly using a thin need leno larger than 27G. At least 27 minutes should lapse from the start of the injection to the surgery.
Results. All operated patients were divided into six groups based on the tissue type being treated. Anevaluation of the effectiveness of the anesthesia used revealed that local anesthesia allows for hand surgery without the need for ananesthesiologist. No adverse effects of anesthesia were observed in the cohort being analyzed.
Conclusion. Hand surgeries using the WALANT method are safe and effective and do not require the participation of anesthesiologists.
Supporting agencies: No author has a financial or property interest in any material or method metioned
About the Authors
N. A. Karpinskii
Lahta Clinic; St. Petersburg State University
Russian Federation
Russian Federation
Nikolay A. Karpinskii, traumatologist-orthopedist, hand surgeon, postgraduate student
Department of Traumatology and Orthopedics
197183; 50, Dibunovskaya st.; 199034; 7-9, Universitetskaya Embankment; St. Petersburg
I. V. Kostenko
Clinical Hospital of the Medical Unit of the Ministry of Internal Affairs of Russia
Russian Federation
Russian Federation
Ivan V. Kostenko, traumatologist-orthopedist
199034; 2, Kultury Ave.; St. Petersburg
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Review
For citations:
Karpinskii N.A., Kostenko I.V. WALANT hand surgery: personal experience of 1000 surgeries. Issues of Reconstructive and Plastic Surgery. 2025;28(3):85-89. (In Russ.) https://doi.org/10.52581/1814-1471/94/10
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