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Wide-Awake Hand Surgery (WALANT)/ In-Office Hand Surgery

Dr. Amar Patel is a regional leader in wide-awake hand surgery (WALANT), a modern technique allowing hand procedures without general anesthesia or a tourniquet. This is done in the office setting!

WALANT hand surgery is performed safely in-office for procedures such as carpal tunnel release and trigger finger surgery. Benefits include faster recovery, reduced cost, and real-time movement testing during surgery.

This approach is ideal for patients seeking advanced in-office hand surgery in Orange County.

In- Office Procedure Means:

  • No special testing (labs, EKG, stress test, etc.)
  • No fasting (so the patient is able to eat throughout the day)
  • No changing or navigating through a hospital
  • No need for a drive. Most patients can drive to and from the clinic.
  • No anesthesiologist or IV in the arm.
  • Much cheaper for the patient
  • An easier and efficient experience.

Conditions treated are extensive, and I am constantly trying to get and more done under local anesthesia. Patients who have it done truly love it. Here are some conditions that I treat in this manner:

  • Tendinitis (Trigger finger, wrist tendinitis, etc.)
  • Mass/ Ganglion excision
  • Percutaneous Dupuytren’s release and collagenase injections
  • Tendon repair
  • Tendon transfers
  • Many finger fractures
  • Hardware/ pin removal
  • Finger contracture release
  • Joint manipulation
  • Foreign body removal
  • Carpal tunnel release
  • Hand infections
  • Skin graft/ local flaps
  • Finger amputation
  • American Academy of Orthopaedic Surgeons
  • American Society for Surgery of the Hand
  • American Association for Hand Surgery
  • Alpha Omega Alpha
  • Florida Orthopaedic Society