WALANT: gentle hand surgery with local anaesthetic

The method WALANTwhich stands for Wide Awake Local Anesthesia No Tourniquetrepresents a major advance in hand surgery. It enables certain procedures to be carried out without general anaesthesia or of the whole arm, without tourniquet, and keeping the patient awake.

What is the WALANT method?

The WALANT technique is based on a local injection of anaesthetic combined with a vasoconstrictor, which renders the operated area insensitive and virtually bloodless.
The surgeon can then operate under optimal conditions, without the need for a conventional operating room.

For what types of intervention?

• Carpal tunnel syndrome

• The jutting finger

• Synovial cysts of the fingers

• Certain finger tumors

• Localized Dupuytren's disease

• Certain osteoarthritis treatments using injections (regenerative medicine)

What's in it for the patient?

• A local anaesthetic

• no tourniquet on the arm

• Less stress, no pre-op fasting

• Reducing the risks associated with other anesthesia methods

• Better interaction with the surgeon during the procedure

• Fast exit, often within the hour

The patient can even move his or her fingers during the procedure, enabling the surgeon to assess the results in real time.

Where does it take place?

Dr. Couturier performs his procedures in his practice, in a specially adapted environment, without hospitalization. This approach makes surgery more accessible, comfortable and rapid.