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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizamos retrospectivamente una serie de 124 pacientes intervenidos por un s&#237;ndrome de t&#250;nel carpiano entre los a&#241;os 1989 y 1994 en nuestro Servicio&#46; Son un total de 150 manos intervenidas y 14 reintervenidas&#46; Revisamos los resultados de la cirug&#237;a con t&#233;cnicas de bloqueo anest&#233;sico distal a nivel carpiano&#44; con anestesia local en la incisi&#243;n y con bloqueo del plexo braquiaI&#46; Evaluamos la utilidad del estudio neurofisiol&#243;gico&#46; Hemos comparado los resultados de los tipos de incisi&#243;n empleados&#44; de la t&#233;cnica anest&#233;sica&#44; de la cirug&#237;a realizada de forma ambulatoria y en los pacientes con ingreso hospitalario&#46; Apreciamos mejores resultados en los pacientes con datos de atrapamiento moderado o severo en el estudio neurofisiol&#243;gico&#46; Observamos menores complicaciones con la t&#233;cnica de bloqueo anest&#233;sico a nivel del carpo&#46; Encontramos de forma significativa menor incidencia de complicaciones con la incisi&#243;n longitudinal&#46; El 80&#37; de los pacientes ambulatorios mejoraron tras la cirug&#237;a&#46; En esta serie obtenemos globalmente un 85&#37; de buenos resultados&#46;</p>"
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Vol. 7. Núm. 3.
Páginas 193-198 (enero 1996)
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Vol. 7. Núm. 3.
Páginas 193-198 (enero 1996)
Síndrome de túnel carpiano experiencia en 124 pacientes
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A. Rodríguez de Lope, J.M. Castilla, A. Gómez, N. López-Ariztegui, V. Martín, M.J. Ramiro, E. González, R. Carrillo
Servicio de Neurocirugia. Hospital General Universitario «Gregario Marañón». Madrid
I. Jiménez*
* Servicio de Anestesiología. Hospital General Universitario «Gregario Marañón». Madrid
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Resumen

Analizamos retrospectivamente una serie de 124 pacientes intervenidos por un síndrome de túnel carpiano entre los años 1989 y 1994 en nuestro Servicio. Son un total de 150 manos intervenidas y 14 reintervenidas. Revisamos los resultados de la cirugía con técnicas de bloqueo anestésico distal a nivel carpiano, con anestesia local en la incisión y con bloqueo del plexo braquiaI. Evaluamos la utilidad del estudio neurofisiológico. Hemos comparado los resultados de los tipos de incisión empleados, de la técnica anestésica, de la cirugía realizada de forma ambulatoria y en los pacientes con ingreso hospitalario. Apreciamos mejores resultados en los pacientes con datos de atrapamiento moderado o severo en el estudio neurofisiológico. Observamos menores complicaciones con la técnica de bloqueo anestésico a nivel del carpo. Encontramos de forma significativa menor incidencia de complicaciones con la incisión longitudinal. El 80% de los pacientes ambulatorios mejoraron tras la cirugía. En esta serie obtenemos globalmente un 85% de buenos resultados.

Palabras Clave:
Síndrome de túnel carpiano
Bloqueo anestésico distal
Cirugía ambulatoria
Summary

We report a retrospective study of the surgical results in 124 patients suffering Carpal Tunnel Syndrome operated in our Neurosurgical Service between 1989 and 1994. In this series there were 150 hands operated and 14 reoperated. We analyse the surgical results obtained with distal forearm regional block anaesthesia at the operative site and brachial plexus block. We also analyze the preoperative valve of the electrophysiological study and compare the results obtained with different incisions, anesthetic techniques and the duration of hospitalization. We observed better results in patients with positive entrapment at the preoperative electrodiagnostic tets and a lower incidence of complications with distal forearm regional block anesthesia and longitudinal incision. The results were satisfactory in 88% of ambulatory patients. Ouerall, we achiened good results in 85% of cases.

Key Words:
Carpal Tunnel Syndrome
Distal forearm regional block anesthesia
Ambulatory surgery

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