The Experts below are selected from a list of 2613 Experts worldwide ranked by ideXlab platform

Donald H Lalonde - One of the best experts on this subject based on the ideXlab platform.

  • A Detailed Cost and Efficiency Analysis of Performing Carpal Tunnel Surgery in the Main Operating Room versus the Ambulatory Setting in Canada
    HAND, 2007
    Co-Authors: Martin R Leblanc, Janice Lalonde, Donald H Lalonde
    Abstract:

    BackgroundOur goals were to analyze cost and efficiency of performing Carpal Tunnel release (CTR) in the main operating room (OR) versus the ambulatory setting, and to document the venue of Carpal Tunnel Surgery practices by plastic surgeons in Canada.MethodA detailed analysis of the salaries of nonphysician personnel and materials involved in CTR performed in these settings was tabulated. Hospital statistical records were used to calculate our efficiency analysis. A survey of practicing plastic surgeons in Canada documented the venue of CTR performed by most.ResultsIn a 3-h surgical block, we are able to perform nine CTRs in the ambulatory setting versus four in the main OR. The cost of CTR in the ambulatory setting is $36/case and $137/case in the main OR in the same hospital. Only 18% of Canadian respondents use the main OR exclusively for CTR, whereas 63% use it for some of their cases. The ambulatory setting is used exclusively by 37%, whereas 69% use it for greater than 95% of their cases. The majority of CTR cases (>95%) are done without an anesthesia provider by 73% of surgeons. Forty-three percent use epinephrine routinely with local anesthesia and 43% avoid the use of a tourniquet for at least some cases by using epinephrine for hemostasis.ConclusionThe use of the main OR for CTR is almost four times as expensive, and less than half as efficient as in an ambulatory setting. In spite of this, many surgeons in Canada continue to use the more expensive, less efficient venue of the main OR for CTR.

  • a detailed cost and efficiency analysis of performing Carpal Tunnel Surgery in the main operating room versus the ambulatory setting in canada
    Hand, 2007
    Co-Authors: Martin R Leblanc, Janice Lalonde, Donald H Lalonde
    Abstract:

    Background Our goals were to analyze cost and efficiency of performing Carpal Tunnel release (CTR) in the main operating room (OR) versus the ambulatory setting, and to document the venue of Carpal Tunnel Surgery practices by plastic surgeons in Canada.

Myles J Cohen - One of the best experts on this subject based on the ideXlab platform.

  • our surgical experience open versus endoscopic Carpal Tunnel Surgery
    Journal of Hand Surgery (European Volume), 2018
    Co-Authors: Daniel J Gould, David A Kulber, Stuart H Kuschner, Ryan Dellamaggiorra, Myles J Cohen
    Abstract:

    Carpal Tunnel release is one of the most common hand operations in the United States and every year approximately 500,000 patients undergo surgical release. In this article, we examine the argument for endoscopic Carpal Tunnel release versus open Carpal Tunnel release, as well as some of the literature on anatomical variants in the median nerve at the wrist. We further describe the experience of several surgeons in a large academic practice. The goals of this article are to describe key anatomic findings and to present several cases that have persuaded us to favor offering patients open Carpal Tunnel release.

Martin R Leblanc - One of the best experts on this subject based on the ideXlab platform.

  • A Detailed Cost and Efficiency Analysis of Performing Carpal Tunnel Surgery in the Main Operating Room versus the Ambulatory Setting in Canada
    HAND, 2007
    Co-Authors: Martin R Leblanc, Janice Lalonde, Donald H Lalonde
    Abstract:

    BackgroundOur goals were to analyze cost and efficiency of performing Carpal Tunnel release (CTR) in the main operating room (OR) versus the ambulatory setting, and to document the venue of Carpal Tunnel Surgery practices by plastic surgeons in Canada.MethodA detailed analysis of the salaries of nonphysician personnel and materials involved in CTR performed in these settings was tabulated. Hospital statistical records were used to calculate our efficiency analysis. A survey of practicing plastic surgeons in Canada documented the venue of CTR performed by most.ResultsIn a 3-h surgical block, we are able to perform nine CTRs in the ambulatory setting versus four in the main OR. The cost of CTR in the ambulatory setting is $36/case and $137/case in the main OR in the same hospital. Only 18% of Canadian respondents use the main OR exclusively for CTR, whereas 63% use it for some of their cases. The ambulatory setting is used exclusively by 37%, whereas 69% use it for greater than 95% of their cases. The majority of CTR cases (>95%) are done without an anesthesia provider by 73% of surgeons. Forty-three percent use epinephrine routinely with local anesthesia and 43% avoid the use of a tourniquet for at least some cases by using epinephrine for hemostasis.ConclusionThe use of the main OR for CTR is almost four times as expensive, and less than half as efficient as in an ambulatory setting. In spite of this, many surgeons in Canada continue to use the more expensive, less efficient venue of the main OR for CTR.

  • a detailed cost and efficiency analysis of performing Carpal Tunnel Surgery in the main operating room versus the ambulatory setting in canada
    Hand, 2007
    Co-Authors: Martin R Leblanc, Janice Lalonde, Donald H Lalonde
    Abstract:

    Background Our goals were to analyze cost and efficiency of performing Carpal Tunnel release (CTR) in the main operating room (OR) versus the ambulatory setting, and to document the venue of Carpal Tunnel Surgery practices by plastic surgeons in Canada.

Susan E. Mackinnon - One of the best experts on this subject based on the ideXlab platform.

  • Variations in incisions and postoperative management in Carpal Tunnel Surgery
    Canadian Journal of Plastic Surgery, 2002
    Co-Authors: Carolyn M Levis, Thomas H. Tung, Susan E. Mackinnon
    Abstract:

    This study examines the variations in incisions and postoperative protocol of open Carpal Tunnel release. A questionnaire was distributed to 65 hand surgeons. Respondents were asked to draw their preferred incision on original photocopies of the same palm. The results were measured against standard anatomical landmarks (thenar crease, vertical axis of the third web space, proximal palmar crease and the distal wrist crease). The participants were also asked to answer questions concerning their postoperative protocols. Demographics of the cohort, as well as the variations in incisions and postoperative management, were analyzed. Significant variations existed in the length and location of the incision in the palm. The differences in postoperative care in this cohort of surgeons were less significant.

  • Secondary Carpal Tunnel Surgery
    Plastic and Reconstructive Surgery, 2001
    Co-Authors: Thomas H. Tung, Susan E. Mackinnon
    Abstract:

    Carpal Tunnel syndrome was first described by Sir James Paget [1]in 1854.The first Carpal Tunnel release is credited in most historical reviews to Learmonth in 1929 for a patient with posttraumatic nerve compression [2].However,a review of the Mayo Clinic records by Amadio [3] indicates that the first surgical release of the trans verse Carpal ligament for median nerve compression was done by Drs.Herbert Galloway and Andrew Mackinnon in Winnipeg,Manitoba,Canada 1924,also for a patient with a posttraumatic neuropathy.

  • Subjective and employment outcome following secondary Carpal Tunnel Surgery.
    Annals of Plastic Surgery, 1994
    Co-Authors: Suzanne R. Strasberg, Susan E. Mackinnon, Christine B. Novak, James F. Murray
    Abstract:

    Forty-five patients (50 hands) who had undergone secondary Carpal Tunnel Surgery participated in a telephone questionnaire survey. The mean follow-up time from the second Carpal Tunnel Surgery was 31 months (range, 9 – 92 mo). Only 24 patients (53%) reported significant improvement in their symptoms

  • Two devastating complications of Carpal Tunnel Surgery.
    Annals of Plastic Surgery, 1992
    Co-Authors: Robert Cartotto, Steven J. Mccabe, Susan E. Mackinnon
    Abstract:

    Two devastating complications of Carpal Tunnel release are presented. In 1 patient, the median nerve was completely transected; in another, massive necrosis of the palm required free flap coverage.

  • Secondary Carpal Tunnel Surgery.
    Neurosurgery clinics of North America, 1991
    Co-Authors: Susan E. Mackinnon
    Abstract:

    Although Carpal Tunnel release relieves symptoms for most patients, there are certain patients who fail to respond to this Surgery. This article reviews the complications that may follow Carpal Tunnel Surgery and discusses surgical techniques to correct the symptoms. The author emphasizes the need for increased awareness of the complexity of Carpal Tunnel Surgery and the peripheral nerve procedures that can provide reliable improvement in affected patients.

Janice Lalonde - One of the best experts on this subject based on the ideXlab platform.

  • A Detailed Cost and Efficiency Analysis of Performing Carpal Tunnel Surgery in the Main Operating Room versus the Ambulatory Setting in Canada
    HAND, 2007
    Co-Authors: Martin R Leblanc, Janice Lalonde, Donald H Lalonde
    Abstract:

    BackgroundOur goals were to analyze cost and efficiency of performing Carpal Tunnel release (CTR) in the main operating room (OR) versus the ambulatory setting, and to document the venue of Carpal Tunnel Surgery practices by plastic surgeons in Canada.MethodA detailed analysis of the salaries of nonphysician personnel and materials involved in CTR performed in these settings was tabulated. Hospital statistical records were used to calculate our efficiency analysis. A survey of practicing plastic surgeons in Canada documented the venue of CTR performed by most.ResultsIn a 3-h surgical block, we are able to perform nine CTRs in the ambulatory setting versus four in the main OR. The cost of CTR in the ambulatory setting is $36/case and $137/case in the main OR in the same hospital. Only 18% of Canadian respondents use the main OR exclusively for CTR, whereas 63% use it for some of their cases. The ambulatory setting is used exclusively by 37%, whereas 69% use it for greater than 95% of their cases. The majority of CTR cases (>95%) are done without an anesthesia provider by 73% of surgeons. Forty-three percent use epinephrine routinely with local anesthesia and 43% avoid the use of a tourniquet for at least some cases by using epinephrine for hemostasis.ConclusionThe use of the main OR for CTR is almost four times as expensive, and less than half as efficient as in an ambulatory setting. In spite of this, many surgeons in Canada continue to use the more expensive, less efficient venue of the main OR for CTR.

  • a detailed cost and efficiency analysis of performing Carpal Tunnel Surgery in the main operating room versus the ambulatory setting in canada
    Hand, 2007
    Co-Authors: Martin R Leblanc, Janice Lalonde, Donald H Lalonde
    Abstract:

    Background Our goals were to analyze cost and efficiency of performing Carpal Tunnel release (CTR) in the main operating room (OR) versus the ambulatory setting, and to document the venue of Carpal Tunnel Surgery practices by plastic surgeons in Canada.