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TAT 218 final e Edit View Insert Format Tools Table Add-ons Help See new cha Com

ID: 90872 • Letter: T

Question

TAT 218 final e Edit View Insert Format Tools Table Add-ons Help See new cha Comments BS NT 100% Normal text nmes New... 16 B I u .A More your answer. Do notskapsteps, annotate output necessary For the mnaLTean ask you aboutany output have discussed in-class. Carpal Tunnel Release Surgery: Repetitive stress injuries have become increasingly prevalent with the widespread use ofcomputers. Carpal tunnel syndrome (CTs repetitive stress injury characterized by pain, mbness, and tingling in the affected hand due to compressioN ofthe median nerve. A remedy to CTs is surgery. Recent medical studies suggest better outcome if surgery is performed early in the course of the condition. The surgical procedure to correct CTS, called e tunnelrelease, involves enlarging the tunnel to relieve nerve compression. Th are two types of surgery: open carpal tunnel release (ocTR and endoscopic carpal tunnel rele (ECTR). ECTR has two different techniques: single portal and double-portal in which a ase larger incision affords the surgeon a better view of the nerve anatomy, has long been the standard procedure. Complications are rare and the long-term prognosis excellent, with a second surgery seldom required. The primary is compared to ECTR, a less invasive microsurgery disadvantage of ocTRisalonger recovery time allowing faster functional recovery and less postoperative rates are slightly higher for ECTR (particularly single-portal as compared to ocTR. The long-term success of ECTR is not yet fully An insurer who provides workers' compensation coverage would like to evaluate recent carpal tunnel surgeries and their associated costs and lost work time. The cost given is the cost ofthe surgery and does not include subsequent follow-up or rehabilitation. The file SirgerUmw contains cost and return-to-work a. Based on this data, develop a recommendation for the preferred surgical procedure from the perspective of the insurer summarize your findings in a brief report. Be sure to include data description, all required assumptions, and the criteria used to make the Shot A 8.25 PM ds English (US)

Explanation / Answer

In general, patients with the following characteristics are less likely to respond to conservative treatment and, therefore, might benefit from surgery:

Factors that may increase the chances for successful surgery:

open carpal tunnel release surgery,in which transverse carpal ligament is cut, which releases pressure on the median nerve and relieves the symptoms of carpal tunnel syndrome.

After surgery, the hand is wrapped. The stitches are removed 1 to 2 weeks after surgery. The pain and numbness may go away right after surgery or may take several months to subside. Try to avoid heavy use of your hand for up to 3 months.

The timing of your return to work depends on the type of surgery you had, whether the surgery was on your dominant hand (the hand you use most), and your work activities.

If you had open surgery on your dominant hand and you do repeated actions at work, you may be able to return to work in 6 to 8 weeks. Repeated motions include typing or assembly-line work. If the surgery was on the other hand and you do not do repeated actions at work, you may be able to return to work in 7 to 14 days. however If you had endoscopic surgery, you may be able to return to work sooner than with open surgery.

The risk and complication rates of open surgery are very low. Major problems such as nerve damage happen in fewer than 1 out of 100 surgeries (less than 1%). After open surgery, recovery may be slower than after endoscopic surgery. Open carpal tunnel surgery cuts open the base of the palm and may require a longer recovery period than endoscopic surgery. Temporary nerve problems may be less likely with open surgery. But painful scar tissue may be more likely to develop after open surgery than after endoscopic surgery.

Patients who had open release surgery appear more likely to require repeat operations compared with those who have had endoscopic surgery.