Minimally Invasive Hand Surgery

Most modern surgical techniques use less-invasive techniques compared to what was commonly done in past decades. Why?

  • Better instrumentation
  • New techniques
  • Rapid rehabilitation
  • In some cases, lower direct costs (procedure is cheaper)
  • In most cases, lower total costs (less time missed from work, less need for rehabilitation)

Endoscopic Carpal Tunnel Release uses a small camera and light source connected to a video monitor to cut a ligament in the hand that is causing nerve compression. Because the ligament is cut without cutting the overlying skin, fat, and fascia, there is less trauma to the surrounding tissues. This means that there is generally less pain and more rapid rehabilitation compared to traditional “open” carpal tunnel surgery.

I use the Agee technique for single portal endoscopic carpal tunnel release. This technique has been proven to be safe and effective for treatment of carpal tunnel syndrome. The procedure is not “non-invasive”, and is thus not risk-free. Complications are rare, but can be serious (such as a cut nerve). As a board-certified hand surgeon, I have performed over 1000 carpal tunnel surgeries. As a hand specialist I have received dedicated training on the nuances of carpal tunnel surgery.

In-situ Decompression of Ulnar Nerve – Cubital tunnel syndrome is caused by compression of the ulnar nerve at the elbow. When non-surgical treatment has failed, surgery can provide relief from numbness, weakness, and pain. In-situ decompression of the ulnar nerve is a less-invasive technique for cubital tunnel surgery. The ulnar nerve is not moved out of its normal position, and the bone on the inside of the elbow is not disturbed. This allows more rapid recovery compared to other techniques.

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