The conventional or “open” decompression method

Conventional surgery (the method currently available in hospitals) is performed with a two to three-centimetre-long incision in the palm of the hand. The opening allows the transverse ligament of the carpus to be cut to enlarge the canal, but this technique requires the following structures to be sacrificed and cut;

• the skin
• subcutaneous fatty tissue, which often contains small nerve fibres
• the muscle just above the transverse ligament of the carpus

This classic technique provides good results but has many disadvantages:

• it unnecessarily sacrifices important structures
• the healing period is considerably longer
• the risks of adhesion and post-operative stiffness increases
• the scar in the palm of the hand may remain hypersensitive for months and may be unsightly
• the loss of postoperative strength can last for about four to six months
• The treatment of both hands should usually be separated by two to three weeks

The endoscopic method

Endoscopic decompression using the Smart Release® system is the most efficient and rapid method of treating carpal tunnel syndrome. This ultra-modern and minimally invasive technique is performed in a few minutes under local anaesthesia and without stitches.

Procedure for the intervention

A 1 cm mini-incision is made on the wrist to insert miniaturized devices to cut the ligament responsible for nerve compression. Unlike the traditional method, the skin and muscles of the hand are not affected. The pain is minimal and the relief of symptoms is immediate. 

The operation lasts about ten minutes and is performed while the patient is completely awake. This method does not require postoperative care and the patient can quickly return to his or her activities. Both hands can be treated in a single session, significantly shortening the recovery period. 

Although the effectiveness rate of both methods is comparable and both have very low complication and recurrence rates, endoscopic release offers significant comfort and productivity benefits. 

Because of its less invasive nature, it provides rapid symptomatic relief, improved motor recovery and a much faster return to normal activities.*

• Minimally invasive technique
• Low discomfort and low risk of complications
• Immediate relief of numbness
• Direct improvement of sleep quality
• Minimal downtime – Most patients regain hand use within 24 to 48 hours
• Allows both hands to be treated in one session 

Dr. Brutus is a pioneer in endoscopic hand surgery in Canada and has already successfully operated on several thousand patients.