01215nas a2200229 4500000000100000008004100001653001200042653001100054653004300065653003100108653002300139653003100162653002000193653001000213100001600223700001400239245006200253300001000315490000700325520063900332022001400971 2019 d10aleprosy10aWALANT10aHand reconstructive surgery in leprosy10aTendon transfer in leprosy10aAffordable surgery10aSafe epinephrine in finger10aTendon Transfer10aIndia1 aMohammed AK1 aLalonde D00aWide Awake Tendon Transfers in Leprosy Patients in India. a67-840 v353 a

Dr Akbar Khan began using the wide awake local anesthesia no tourniquet (WALANT) technique for leprosy tendon transfers in the summer of 2015 at the Damien Foundation Hospital in Nellore, India. This article summarizes his first 18 months of experience and describes 5 of his operations. He found that WALANT provides effective anesthesia with good visibility for leprosy tendon transfers. WALANT permits economically disadvantaged leprosy patients to afford the surgery. All of the leprosy patients who have undergone WALANT tendon transfers in this series would like the same technique for their next tendon transfers.

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