Endoscopic Carpal Tunnel Surgery Overview
Endoscopic surgery uses a thin tube with a camera attached (endoscope). The endoscope is guided through a small incision in the wrist (single-portal technique) or at the wrist and palm (two-portal technique). The endoscope lets the doctor see structures in the wrist, such as the transverse carpal ligament, without opening the entire area with a large incision.
During endoscopic carpal tunnel release surgery , the transverse carpal ligament is cut. This releases pressure on the median nerve, relieving carpal tunnel syndrome symptoms.
The small incisions in the palm are closed with stitches.
If you have endoscopic carpal tunnel release surgery, you likely will not have to stay in the hospital. You can go home on the same day.
What To Expect
You can expect a shorter recovery period after an endoscopic surgery than after open surgery, because the procedure does not require cutting the palm open.
If you had endoscopic surgery, you may be able to return to work sooner than with open surgery.
Why Endoscopic Carpal Tunnel Surgery is Done
Endoscopic carpal tunnel release surgery is considered when:
- You still have symptoms after a long period of nonsurgical treatment.
- Severe symptoms (such as persistent loss of feeling or coordination in the fingers or hand, or no strength in the thumb) restrict your normal daily activities.
- There is damage to the median nerve or a risk of damage to the nerve.
How Well Endoscopic Carpal Tunnel Surgery Works
Most people who have surgery for carpal tunnel syndrome have fewer or no symptoms of pain and numbness in their hand after surgery.
Hand Surgeon Performs Endoscopic Carpal Tunnel Surgery
Dr Chee Kin Ghee, Hand Specialist