Endoscopic Carpal Tunnel Release (ETCR)

Stitchless Endoscopic Carpal Tunnel Release (ECTR)

• Stitchless 10 minute surgery
• Minimal scarring and pain with 1 cm incision
• Local anesthetic
• No restrictions after 48 hours
• One week recovery
• Indicated as early as 8 weeks after symptom onset to prevent permanent nerve damage
• 50% faster recovery than the “open” procedures

What is Carpal Tunnel Syndroms?

Carpal tunnel syndrome (CTS) is a painful irritation of the median nerve in the hand and wrist. CTS develops overtime because of repetitive hand motions. The condition can cause pain, numbness or tingling in the hand and fingers.

What is the Carpal Tunnel?

The carpal tunnel is a space between the carpal ligament and the bones at the base of the hand. The tendons that flex the thumb, index and ring finger pass through this space. So does the median nerve, which supplies feeling to the thumb, index and ring finger.

Carpal tunnel syndrome can be treated with rest, bracing, steroid injections or surgery. For those requiring surgery, Stichless Endoscopic Carpal Tunnel Release (SECTR) is performed to relieve pressure on the median nerve, alleviating numbness and tingling in the thumb, index, middle and ring fingers. The endoscopic carpal tunnel technique is performed on an outpatient basis in D.I.S.C.’s state-of-the-art surgical center. The endoscopic approach creates less pain and scarring than traditional open surgery, allowing for a quicker recovery.

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SECTR Procedure

1. Preparation: A small incision is created in the wrist.
2. Endoscope Inserted: An endoscope, which the surgeon uses to see inside the wrist and hand, is inserted underneath the transverse carpal ligament. The endoscope has a light and a small video camera that sends images to a TV monitor in the operating room.
3. Ligament Cut: Using the video images from the endoscope as a guide, the surgeon precisely cuts the constricting transvers carpal ligament, relieving pressure on the median nerve.
Note: Through a single, small incision, the ligament is released without having to cut through the skin and muscles of the palm resulting in less pilar pain and less scarring pain.

Informational Links:

The Hand and Wrist Institute- SECTR Brochure
Single-Portal Endoscopic Carpal Tunnel Release Comparred with Open Release

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