Enucleation of the median nerve tumour under WALANT: a case report

Ilya Kuryha, Marta Baranowska

Abstract


A case of a median nerve tumour (schwannoma) located in the distal part of the forearm, which was enucleated from the nerve under local anaesthesia (WALANT), without the use of a tourniquet on the arm to obtain a bloodless surgical field, is presented. To the best of the authors’ knowledge, this is the first described case of nerve tumour surgery under this anaesthesia. It shows that operation of nerve tumours can be performed under WALANT, without deteriorating of patients’ safety and surgeons comfort. The authors believe that presentation of this case can be interesting for hand surgeons and will encourage them to extend the scope of operations performed under WALANT. 


Keywords


nerve tumour; schwannoma; WALANT; surgical technique

Full Text:

PDF

References


Żyluk A, Mazur A. Statistical and histological analysis of tumors of the upper extremity. Obere Extrem 2015;10(4):252-7.

Żyluk A, Owczarska A. Outcomes of surgery for benign tumours in the upper extremity. Handchir Mikrochir Plast Chir 2023;55(5):344-9.

Żyluk A, Owczarska A. Outcomes of surgery for schwannomas of the upper extremity. Pol Przegl Chir 2021;94(2):49-53.

Kokkalis ZT, Stavropoulos NA, Mavrogenis AF, Panagopoulos A, Soucacos PN. Benign peripheral nerve tumors. Injury 2019;50 Suppl 5:S77-83.

Żyluk A, Szlosser Z. Local infiltration anaesthesia with a bloodless operative field (WALANT). Presentation of the technique and its use in hand surgery. Ortop Traumatol Rehabil 2020;22:203-9.

Żyluk A. WALANT anaesthesia in hand surgery: an analysis of adverse events and complications. Pomeranian J Life Sci 2024;70(1):15-7.

Padasali PS, Shankaregowda VS, Kshirsagar SD. Median nerve schwannoma: a case report and review of literature. Asian J Neurosurg 2015;10:212-5.

Strike SA, Puhaindran ME. Nerve tumors of the upper extremity. Clin Plast Surg 2019;46:347-50.

Sardenberg T, Ribak S, Colenci R, Campos RB, Varanda D, Cortopassi AC. 488 hand surgeries with local anesthesia with epinephrine, without a tourniquet, without sedation, and without an anaesthesiologist. Rev Bras Ortop 2018;53(3):281-6.

Connors KM, Guerra SM, Koehler SM. Current evidence involving WALANT surgery. J Hand Surg Glob Online 2022;4(6):452-5.

Kurtzman JS, Etcheson JI, Koehler SM. Wide-awake local anaesthesia with no tourniquet: an updated review. Plast Reconstr Surg Glob Open 2021;9(3):e3507.




DOI: https://doi.org/10.21164/pomjlifesci.1148

Copyright (c) 2025 Ilya Kuryha, Marta Baranowska

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/