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Wide-Awake Hand Surgery (WALANT)

WALANT eliminates the need for tourniquets and general anesthesia (sedation) by using two medications administered locally for a safe, painless surgery. Lidocaine blocks pain, and epinephrine stops bleeding.

 

 

WALANT stands for Wide Awake Local Anesthesia No Tourniquet, a technique used for hand surgeries without general anesthesia or sedation. It allows the patient to remain awake and comfortable during the procedure.

This method uses local anesthetic with epinephrine to control pain and bleeding. Patients can actively move their fingers during surgery, allowing for real-time assessment of function and repair.

WALANT is used for many common procedures like carpal tunnel release, trigger finger release, and tendon repairs. It eliminates the need for fasting, hospital admission, or anesthesia risks, and patients typically recover quickly.