Miniabordaje en la cirugía del túnel carpiano

introduction: different techniques have been used to opening of the carpal transverse ligament including the surgical, endoscopy and the mini-approach. objective: to show the results surgery with mini-approach using one and two incisions. methods: a prospective study was conducted in168 patients diagnosed with carpal tunnel syndrome. in a group (n= 90) by transverse incision of 1 cm proximal to carpal transverse ligament and in the other (n= 78) were necessary two incisions, one transverse proximal to carpal transverse ligament and the other distal to it. results: the postoperative assessment at 7 days in operated on using one incision was of 0 in 57 of 90, with two incisions was of 0 in 40 of 78. the patient's satisfaction after one month of surgery using one incision were satisfied 88 of 90, partial satisfaction 2 of 90; two incisions, satisfied 72 of 78 and a partial satisfaction in 5 of 78. a whole incorporation to daily activities was achieved at a postoperative week, one partial incision 80 of 90 and a total of 10 of 90; with two incisions, partial 65 of 78. tue complications included 6 with both methods one leading and other slight with one incision and 4 slights with two incisions. conclusions: surgery for opening of carpal transverse ligament by means using the proposed mini-approaches allow the obtaining of results similar to that endoscopy during the first weeks and higher those obtained by open surgery with a low rate of complications.