An incision was made in the mid-palm area, between the thena…
An incision was made in the mid-palm area, between the thenar and hypothenar eminence. Meticulous hemostatis of any bleeders was performed, and the fat was identified. The palmar aponeurosis was identified, cut and traced down to the wrist. Severe compression of the median nerve was observed, and additional removal of the aponeurosis was performed to allow for further decompression. After this was completed, the area was irrigated with saline and bacitracin solution and closed as a single layer using Prolene 4-0 as interrupted vertical mattress stitches. Dressing was applied, and the patient was brought to the recovery.
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