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WALANT In-Office Procedures

  • Writer: Eric Angermeier MD
    Eric Angermeier MD
  • Jun 13, 2020
  • 2 min read

Updated: Dec 7, 2024

WHAT are WALANT In-Office Procedures?

WALANT In-Office Procedures (Wide Awake Local Anesthesia No Tourniquet):

This is an anesthesia technique developed by hand surgeons in which minor surgeries and even some larger surgeries can be performed in the office procedure room without the need for an arm tourniquet or sedation. A medication called epinephrine is added to the local numbing to reduce bleeding. Because a tourniquet is not needed, IV sedation is not required (tourniquets can be very uncomfortable without IV sedation). Because IV sedation is not required, some procedures can be performed in the office procedure room without needing a full operating room and anesthesia team. It is important to understand that with WALANT surgery you are fully awake during the procedure, and while your surgeon will ensure that you are adequately numbed up, you may continue to feel pressure. Some patients choose to watch their surgery, while others simply look the other way.


a procedure chair and surgical equipment
Our In-Office Procedure Room at Hand Institute of Charleston


WHAT TYPES OF SURGERY CAN BE PERFORMED USING THE WALANT TECHNIQUE?

Not all hand and wrist conditions can be treated with WALANT techniques, but here is a list of problems in which WALANT In-Office Surgery may be a good option:

· Trigger Finger Release

· De Quervain’s Release

· Removal of foreign bodies or small cysts/masses

· Carpal Tunnel Release

READY TO CONFIRM A DIAGNOSIS AND FIX THE PROBLEM OR JUST WANT TO LEARN MORE?

I am here to help! They can often diagnose the problem in one visit, and get you started with a treatment plan. I offer a wide variety of both nonoperative and operative treatment options.

Call Hand Institute of Charleston today for a clinic or telehealth appointment! 854-423-4263

This article is not a substitute for in-person medical advice or diagnosis and is for educational purposes only.

 
 
 

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Doctor Angermeier Logo. Eric Angermeier, MD. Orthopaedic Hand and Wrist Surgeon.
Hand Institute of Charleston Logo - ECMG

Practice Locations

Mt Pleasant Office

1625 Hospital Drive

Suite 350

Mt Pleasant, SC 29464

Tel: 854-429-HAND (4263)

Fax: 843-737-8569

Summerville Office

202 Nexton Square Drive

Nexton, SC 29486

Tel: 854-429-HAND (4263)

Fax: 843-737-8569

© 2020 by Eric Angermeier MD

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