Clinical Innovation
WALANT Hand Surgery: Theatre Throughput and Cost Analysis
Switching selected hand procedures to wide-awake local anaesthesia increased day-care throughput and removed pre-operative fasting and workup burden.
Demo content. Entries and authors on this page are illustrative placeholders created for the platform preview — not real people, institutions or published studies.
Specialty
Hand & Wrist
Location
Ahmedabad, Gujarat
Published
11 Jun 2025
Research type
Retrospective Study
Abstract
Demo abstract. Two hundred consecutive minor hand procedures performed under WALANT were compared with a historical regional-block cohort for turnover time and consumable cost.
Description
Case selection excluded procedures needing a tourniquet beyond the digital level or extensive bone work.
Patient experience was captured with a short post-procedure questionnaire.
Innovation / discovery
Intra-operative active motion testing changed the tenolysis and trigger-release decision in a meaningful proportion of demo cases.
Surgical / procedural method
Lidocaine with adrenaline field block, no tourniquet, standard procedure room. Turnover time measured wheels-in to wheels-in.
Research findings
- Turnover time fell substantially versus the historical cohort.
- Pre-operative investigation costs were largely eliminated.
- Patient-reported anxiety was the main limiting factor for case selection.
Attached documents
Document hosting is not enabled yet. Once admin uploads go live, these entries will link to the published PDFs and datasets.
Cost analysis workbook
Upload pending — admin access required