Name:
Live Surgery Tuesday - Open Carpal Tunnel Release With Median Nerve Coverage! *Surgical Content*
Description:
Live Surgery Tuesday - Open Carpal Tunnel Release With Median Nerve Coverage! *Surgical Content*
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/0c93de8a-3aa3-4af8-b5cc-d0e12fadb43c/videoscrubberimages/Scrubber_1.jpg
Duration:
T00H02M36S
Embed URL:
https://stream.cadmore.media/player/0c93de8a-3aa3-4af8-b5cc-d0e12fadb43c
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/0c93de8a-3aa3-4af8-b5cc-d0e12fadb43c/Live Surgery Tuesday_ Open Carpal Tunnel Release with median.mp4?sv=2019-02-02&sr=c&sig=FhLVxvTEQurQ7OQIo0SBydNSNhSUQ0FomcktuIs4GKI%3D&st=2024-11-24T00%3A18%3A24Z&se=2024-11-24T02%3A23%3A24Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
ALEJANDRO BADIA: Good morning, Dr. Badia here for #Live Surgery Tuesday. So today we're going to do something unusual. We just did an endoscopic carpal tunnel release. That's another debate we can have at some point but I've probably done about 6,000 of those over my career. They do very well. This gentleman is coming in from the West Coast of Florida, had an open carpal tunnel release previously, which works very well.
ALEJANDRO BADIA: I'm not critiquing it, but when there's an issue, it's a little more complicated. There's scarring around the nerve so I have to do it open. So you're going to see a rare open carpal tunnel release for me. I'm going to cover the nerve with a hypothenar, vascularized fat flap so it doesn't scar to the skin, and I'm going to use some hyaluronic acid gel
ALEJANDRO BADIA: OK? so stay tuned. We sometimes use sheets of polylactic acid to wrap a nerve, but it's kind of difficult to do that in the carpal tunnel so we're using something of a liquid form. When you make an open incision, you know, you're just going to get more scarring than endoscopic. Same reason, nowadays, we all fix our rotator cuffs,
ALEJANDRO BADIA: not all, but most of us fix our rotator cuff with three little holes arthroscopically. So that's a gel that's it's starting to set. It takes, what, 3 minutes Kate? Mm hmm. Yeah. So, so there's a membrane and the, the solvent.
KATE SAMUELS: So right now what you're kind of looking at, a bold piece of cellophane, if you will, with some fluid. And it's going to become jelly like over the next few minutes.
ALEJANDRO BADIA: Median nerves, I can see it. The median nerve is very white there, which is normal and off white and here it's sort of yellow and constricted and a little red there. Hypothenar and a vascularized fat flap. What I'm going to do is I'm putting this, you see, it's, it's kind of thick.
ALEJANDRO BADIA: I'm putting it around. OK so there. There is that gel surrounding the nerve. Now, we'll just take a stitch, please, and we're going to just suture this fat in under the surface of the transverse, the radial side and transverse carpal ligament.
KATE SAMUELS: Thank you very much for joining us, Dr. Badia.
KATE SAMUELS: Your last words.
ALEJANDRO BADIA: Enjoy life. [VIDEO ENDS]
