Journal of Clinical and Investigative Surgery
ISSN: 2559-5555


Use of WALLANT technique in hand surgery, safe and advantageous. Personal experience

Mihaela Pertea1, Vladimir Poroch2, Oxana-Madalina Grosu1, Alina Manole3, Natalia Velenciuc4, Sorinel Lunca4

1Grigore T. Popa University of Medicine and Pharmacy, St. Spiridon Emergency County Hospital, Department of Plastic Surgery and Reconstructive Microsurgery, Iasi, Romania
2Grigore T. Popa University of Medicine and Pharmacy, Regional Institute of Oncology, Department of Palliative Care, Iasi, Romania
3Grigore T. Popa University of Medicine and Pharmacy, Department of Primary Care and Epidemiology, Iasi, Romania
4Grigore T. Popa University of Medicine and Pharmacy, Regional Institute of Oncology, IInd Surgical Oncology Clinic, Iasi, Romania

J Clin Invest Surg. 2018; 3(1): 26-31. DOI: 10.25083/2559.5555/31.2631
Running title: Use of WALLANT technique – personal experience
Keywords: hand surgery, wide awake, local anesthesia


Objectives. To confirm the efficiency of using local anesthesia with lidocaine and epinephrine in hand surgery.

Materials and methods. 75 patients in whom we used local anesthesia with 1% lidocaine and epinephrine in solution 1: 100 000. We evaluated the amount of used anesthetic, the time to onset of anesthesia, intraoperative bleeding, the duration of intervention and hospitalization, immediate postoperative complications.

Results. It has been no case of digital necrosis or other vascular complications and no intraoperative bleeding. The amount of the used anesthetic varied. In no case it was necessary to use of phentolamine as an antidote to the effects of adrenaline.

Conclusions. Wide awake local anesthesia no tourniquet technique is safe, having many advantages: it is not necessary to use the tourniquet with or without intravenous sedation, the surgeon and patient comfort is maximum, there is no risk of digital necrosis, hospitalization time is short and the costs are minimal.