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Specialist offering Wide-Awake Hand Surgery in Ventura & Camarillo, CA

Certain procedures of the hand and wrist may be performed under local anesthesia with the patient fully conscious. Dr. Sahil Vohra in Ventura & Camarillo, CAoffers expert diagnosis and individualized non-operative and operative treatment plans. Dr. Sahil Vohra also provides specialized care during and after surgery. To learn more about wide-awake handsurgery, contact Dr. Sahil Vohra office in Ventura & Camarillo, CA for an appointment today!

What is Wide-Awake Hand Surgery?

Wide-awake hand surgery, also known as wide-awake local anesthesia no tourniquet (WALANT), is a procedure in which hand surgery is performed without any sedation or general anesthesia.

Indications for Wide-Awake Hand Surgery

Wide-awake hand surgery can be used for:

  • Fracture fixation
  • Ligament repair
  • Osteotomy
  • Replacement of finger joints
  • Tendon and soft tissue surgery
  • Trapeziectomy (removal of a small bone from the wrist)
  • Trigger finger release
  • Carpal tunnel release

Preparing for Wide-Awake Hand Surgery

Specific instructions will be provided by your hand surgeon. In general, you should:

  • Stop smoking as it can slow down the healing process.
  • Inform your surgeon about any health conditions, allergies, and regular medications.
  • You do not have to fast prior to the surgery as general anesthesia will not be administered.

Procedure for Wide-Awake Hand Surgery

The procedure for wide-awake-hand surgery includes the following:

  • Your doctor will instruct you to change your clothes to a patient’s gown.
  • Your hand will be cleaned and prepared.
  • Your doctor will inject a local anesthesia such as lidocaine with epinephrine to the surgical site.
  • This injection will numb the surgical site and minimize bleeding to help your surgeon to easily operate on your hand.
  • Depending on your injury, the appropriate surgical repair will be performed while you are wide awake.No tourniquet will be used during the surgery.
  • The surgeon may ask you to move your hand during the procedure to get a better idea how the repair will work and thus optimize outcomes.
  • The surgical incision will be closed with sutures and covered with a dressing after which you can return home.

Risks and Complications of Wide-Awake Hand Surgery

Wide-Awake Hand Surgery is a very safe procedure; however, there is a minimal risk of bleeding, infection, delayed healing, and failure to heal after surgery.

Advantages of Wide-Awake Hand Surgery

Advantages of wide-awake hand surgery include:

  • Enables quicker return to normal activities
  • Avoids side effects of general anesthesia
  • Better surgical outcomes
  • Lower cost

If you would like to have additional information on wide-awake hand surgery or other procedures, please contact Dr. Sahil Vohra in Ventura & Camarillo, CA.

  • American Society for Surgery of the Hand logo
  • American Academy of Orthopaedic Surgeons
  • American Osteopathic Academy of Orthopedics logo
  • American Osteopathic Association logo