APPLICATION OF WALANT TECHNIQUE IN UPPER EXTREMITY SURGERY AT VUNG TAU GENERAL HOSPITAL: A CASE SERIES REPORT

Trần Tuấn Kiệt 1 , Hà Ngọc Phúc 1 , Đỗ Minh Đức 1 , Lương Văn Anh 1 , Nguyễn Thị Kim Thu 2 ,
1 Bệnh viện Đa khoa Vũng Tàu
2 Bệnh viện Đa khoa Bà Rịa
* Corresponding author:

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DOI
10.63947/bvtn.v2i8.9
Published
2026-06-07
Issue Vol. 2 No. 8 (2026): Geriatric Medicine in the Era of Personalization, Technology, and Prevention
Section
Case Report
Categories
Research

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1.
Tuấn Kiệt T, Ngọc Phúc H, Minh Đức Đỗ, Văn Anh L, Thị Kim Thu N. APPLICATION OF WALANT TECHNIQUE IN UPPER EXTREMITY SURGERY AT VUNG TAU GENERAL HOSPITAL: A CASE SERIES REPORT. JHA [Internet]. Vietnam; 2026 Jun. 7 [cited 2026 Jun. 18];2(8):65–68. https://tcsuckhoelaohoa.vn/bvtn/article/view/189 doi: 10.63947/bvtn.v2i8.9
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Abstract

Traditional upper extremity surgery relies on tourniquets and sedation/general anesthesia. WALANT utilizes a mixture of lidocaine and epinephrine to achieve hemostasis and anesthesia without a tourniquet, allowing intraoperative active movement examination. Objective is to evaluate the safety and efficacy of WALANT in upper extremity surgery at Vung Tau General Hospital. A report of 4 clinical cases treated with WALANT. All surgeries were successful with minimal blood loss and excellent visualization. Patients reported minimal pain, no tourniquet discomfort, and successfully performed intraoperative active movements to verify surgical repairs. No complications such as necrosis or toxicity occurred. WALANT is a safe, effective, and cost-efficient approach, enabling intraoperative functional assessment and facilitating early discharge

Keywords

WALANT upper extremity surgery local anesthesia no tourniquet

References

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© 2026 The Author(s). Published by Journal of Health and Aging.

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