Wide Awake Hand Surgery (WALANT): Why More Patients are Choosing It
- May 14
- 2 min read
Traditionally, hand surgery required general anaesthesia or heavy sedation, often involving a "fasting" period and a groggy recovery. However, at Midland Hand Clinic, Mr Shyamalan utilises the WALANT (Wide Awake Local Anaesthetic No Tourniquet) technique to transform the surgical experience.
What is Wide Awake Hand Surgery?
WALANT is a specialised technique where the surgeon uses a combination of local anaesthesia and a medication called adrenaline. This numbs the area and controls bleeding without the need for a painful tourniquet on the arm.
Why Choose WALANT?
No General Anaesthetic Risks: Patients avoid the side effects of being "put under," such as nausea, vomiting, or long recovery times in the hospital.
Interactive Results: Because you are awake, the surgeon can ask you to move your fingers during the procedure. This allows for real-time adjustments to tendons or ligaments, ensuring the best possible functional outcome.
Faster Recovery: You can walk into the clinic and walk out shortly after your procedure. There is no need for a "recovery room" stay or a companion to drive you home (though it is often still recommended for safety).
Cost-Effective & Convenient: There is no need for preoperative fasting or extensive blood tests typically required for general anaesthesia.
Which Procedures Can Be Done "Wide Awake"?
Most common hand conditions can be treated this way, including:
Carpal Tunnel Release
Trigger Finger Release
Tendon Repairs
Removal of Lumps and Bumps
If you are nervous about surgery, the WALANT technique offers a calm, safe, and highly effective alternative.
Mr Shyamalan, Consultant Hand, Wrist and Elbow Surgeon at Midland Hand Clinic, specialises in diagnosing and treating a wide range of hand and wrist conditions. Don't let discomfort hold you back. Schedule a consultation with Mr Shyamalan at Midland Hand Clinic today to discuss your concerns and explore potential solutions. Submit an enquiry through our website and we’ll get back to you as soon as we can.
