Mesh, Glue, and Absorbable Monocryl Sutures for Carpal Tunnel Decompression: A Perfect Closure?

Abstract

Since surgery for carpal tunnel syndrome is the most commonly performed elective operation on the hand, improvements in outcome by optimizing each of its steps are worth pursuing. Despite multiple randomized controlled trials and meta-analyses, the perfect waytoclosetheincisioninopencarpaltunnelreleaseremainsuncertain.Here,I describe using mesh, cyanoacrylate glue, and absorbable Monocryl sutures in a small patient series to achieve a nonbulky, nearly transparent closure, eliminating follow-up visit requirements. The combination appears superior to the methods usually used for absorbable closure with Vicryl and Vicryl Rapide. This report presents an experiential analysis rather than a formal quantitative evaluation and includes a brief review of the literature on closure techniques and the potential for future research.