Local anaesthetic hand surgery
- Jamie A'Court
- Sep 5, 2025
- 2 min read
Hand surgery has evolved significantly in recent years, especially with the rise of WALANT (Wide Awake Local Anesthesia No Tourniquet) techniques. This innovative method enables patients to have various hand surgeries while fully awake and alert, drastically improving the overall experience.
WALANT hand surgery is particularly advantageous for patients who may feel nervous about general anesthesia or those who want to avoid its associated risks. This technique not only provides effective pain control but also allows for immediate feedback during the procedure, which can lead to better surgical outcomes and increased patient satisfaction. Research shows that patient satisfaction rates soar to about 95% for those undergoing WALANT procedures compared to traditional methods.
Types of Operations
WALANT can be utilized for a wide range of hand surgeries, making it a flexible option for many patients. Here are some common procedures:
Carpal Tunnel Release: This surgery addresses numbness and pain caused by pressure on the median nerve in the wrist. Research indicates that about 80% of patients experience significant relief post-surgery, with full recovery often occurring within just a few weeks.
Trigger Finger Release: This procedure targets the locking or catching of fingers due to tendon inflammation. With WALANT, patients can actively participate and provide feedback during the surgery, leading to quicker adjustments and improved results.
Dupuytren's Contracture Surgery: This surgery corrects the thickening of tissue in the palm causing fingers to bend inward. The WALANT technique allows the surgeon to make precise corrections, enhancing the chances of a successful outcome. Studies show that around 70% of patients regain normal finger function within three months.
Ganglion Cyst Excision: These benign lumps often create discomfort and can be removed through a simple outpatient procedure. Patients can express any concerns to the surgeon while awake, which helps ensure a personalized surgical approach.
These procedures highlight the versatility of WALANT, providing patients with an active role in their surgical experience.
What to Expect from Recovery
Recovery from WALANT hand surgery is typically quick and straightforward. Since patients remain awake during the procedure, they can start rehabilitation exercises immediately, which may expedite healing.
Post-operative care usually includes:
Pain Management: Most patients report only mild discomfort after surgery, easily managed with over-the-counter pain relievers. Studies indicate that nearly 90% of patients require no stronger medication.
Activity Restrictions: While many patients return to light activities within a few days, it’s crucial to follow the surgeon’s guidance to promote optimal healing. About 60% of patients are cleared to resume normal activities within a week depending on the type of surgery.
Overall, the WALANT approach not only enhances surgical experiences but also promotes quicker recoveries, allowing patients to get back to their daily lives with minimal interruption.
A New Era in Hand Surgery
The advancements in WALANT hand surgery mark an important step forward in patient care. By keeping patients awake and involved during their procedures, this technique improves comfort and enhances surgical outcomes. With a variety of available operations and a straightforward recovery process, WALANT is an excellent choice for those seeking effective solutions for hand issues like carpal tunnel syndrome and trigger finger.
As the field of hand surgery continues to advance, patients can anticipate more innovative techniques designed to prioritize their comfort and well-being.






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