Endoscopic Carpal Tunnel Release is a less invasive approach to carpal tunnel surgery, which results in fewer risks, more rapid recovery and better outcomes. The key components of the procedure consist of an endoscope, which is a tiny flexible tube with a camera attached, and a large monitor clearly projecting the areas of the wrist through which the endoscope passes.
Guided through a small incision(s) in the wrist (with either a single-portal or two-portal technique) the endoscope magnifies the structures of the wrist, including the transverse carpal ligament. A small cutting tool is inserted and designed to release the compression in the wrist without disturbing the surrounding soft tissue which is vulnerable in traditional open surgery.
The tool, which is controlled by the hand specialist, cuts the transverse carpal ligament, in order to release the compression on the median nerve. The distance of decompression is greater than that which traditional surgery is able to achieve and therefore more effective for long term relief. By relieving the compression caused by the ligament, the nerve is able to move smoothly again through the tunnel and symptoms are relieved. The tiny tools and incision(s) prompt a more rapid recovery and resumption of movement/function.