Wide Awake Endoscopic Cubital Tunnel Release

Description

The video demonstrates a procedure for wide awake local anesthesia during an endoscopic cubital tunnel release using the SafeView device by Mission Surgical. The process begins with the patient’s arm properly positioned and the medial epicondyle identified for the incision site. Local anesthesia is administered in stages to enhance safety and efficacy, starting with multiple injections of lidocaine to numb the area. As the procedure progresses, the surgeon performs a series of steps including incision, blunt dissection to access the cubital tunnel, and further injections of anesthetic for comfort during the endoscopic operation. The technique involves careful manipulation of instruments to release the Osborne ligament and the flexor carpi ulnaris, confirmed via visual assessment to ensure no structure interferes during the release. The procedure is followed by a dynamic observation of the ulnar nerve to check for any complications after the release has been completed. The surgeon remarks on the advantages of this technique, which provide a comfortable experience for the patient and a quick recovery time.

Specialties