يتمتع الدكتور خواكيم كاسانياس بـ 31 عاماً من الخبرة في مجال جراحة العظام، حيث أجرى أكثر من 1100 عملية جراحية لليد. تبلغ تكلفة جراحة تحرير النفق الرسغي في مركز تيكنون الطبي عادةً ما بين 3500 و5000 يورو، وتغطي الإجراء والتخدير والاستشارة بعد العملية الجراحية. تستخدم العيادة تقنيات جراحية مجهرية طفيفة التوغل لضمان تعافٍ أسرع. يشغل الدكتور كاسانياس منصب رئيس الجمعية الإسبانية لجراحة اليد ويعالج مرضى رفيعي المستوى. تحافظ المنشأة المعتمدة من قبل اللجنة الدولية المشتركة (JCI) على تقييم 4.7/5 بناءً على أكثر من 400 مراجعة.
مستشفى تكنون (Centro Medico Teknon) هي منشأة طبية خاصة في برشلونة ، إسبانيا. يقدم الأطباء المشهورون عالميًا التشخيص والعلاج في Teknon.
\n\nيعد علم الصرع (علاج الصرع) وجراحة الأعصاب والأورام وجراحة القلب والعلاج بالخلايا الجذعية من التخصصات الأساسية في مستشفى تكنون.
\n\nمستشفى تكنون هو الاختيار الأول للمشاهير والرياضيين والسياسيين. قام أطباء تكنون بتسليم طفل شاكيرا (المغنية الشهيرة) ، وقام بتشغيل أندريس إنييستا (لاعب كرة قدم إسباني محترف) ، وتوماس روهلر (رياضي ألماني تنافس في رمي الرمح) ، وقدم العلاج بالخلايا الجذعية للاعبي كرة القدم في نادي برشلونة.
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\n\nيعد علم الصرع (علاج الصرع) وجراحة الأعصاب والأورام وجراحة القلب والعلاج بالخلايا الجذعية من التخصصات الأساسية في مستشفى تكنون.
\n\nمستشفى تكنون هو الاختيار الأول للمشاهير والرياضيين والسياسيين. قام أطباء تكنون بتسليم طفل شاكيرا (المغنية الشهيرة) ، وقام بتشغيل أندريس إنييستا (لاعب كرة قدم إسباني محترف) ، وتوماس روهلر (رياضي ألماني تنافس في رمي الرمح) ، وقدم العلاج بالخلايا الجذعية للاعبي كرة القدم في نادي برشلونة.
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"},"1755":{"operation":{"name":"جراحة إعادة بناء اليد","alias":"hand-reconstruction-surgery","use_for_listing":true},"country_price":{"TR":{"amount":3200,"max_amount":5600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":6500,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3500,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":4800,"max_amount":8800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"DE":false,"TH":false,"ES":false}}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":2,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":143}},"direction":{"id":54,"name":"جراحة اليد","alias":"hand-surgery"},"illness_kind":{"id":54,"name":{"en":"Hand surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":3,"max":14,"unit":"days","qualifier":"Light or desk work often within days; manual or heavy gripping work may take 4-6 weeks or longer."},"complication_rate_pct":{"min":0.2,"max":1,"unit":"percent","qualifier":"Major or serious complications after primary open or endoscopic carpal tunnel release in adults. Counted: irreversible median nerve damage (about 0.2-0.3% in pooled series), tendon injury (about 0.03%), and other serious events such as deep infection, complex regional pain syndrome and hematoma needing intervention. Minor events (scar tenderness, pillar pain, transient paresthesia, stiffness) are excluded. The upper bound allows for the pooled range of serious events."},"contraindications":["Active local infection at the surgical site","Uncontrolled bleeding disorder or unmanaged anticoagulation (relative)","Medical unfitness for even minor procedure","Symptoms not due to median nerve compression (diagnosis not confirmed)","Mild, intermittent symptoms responsive to conservative care (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Standard carpal tunnel release for one hand is performed as an outpatient procedure with same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gradual return to strenuous hand-loading activity and sports after wound healing, guided by comfort and surgeon advice."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Numbness and pain improve early; grip strength and scar tenderness may take months; severe long-standing compression recovers slower or incompletely."},"fly_home_after_days":{"min":1,"max":7,"unit":"days","qualifier":"Derived from the clinical course, not from a flight-specific study. Standard outpatient carpal tunnel release has a small palmar wound, and most patients can travel as passengers within days. Flying is generally acceptable from the next day if the hand is comfortable and the dressing is intact. Waiting about 1 week, until the first wound check or suture removal at roughly 10-14 days, is more conservative. Carrying luggage with the operated hand should be avoided."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"When non-absorbable sutures are used; wound check at the same visit."}},{"purpose":"assessment","requirement":"conditional","after":{"min":42,"max":90,"unit":"days","qualifier":"Review of symptom relief, grip strength and scar."}}],"indications":["Carpal tunnel syndrome with persistent numbness, tingling or pain despite conservative treatment (splinting, activity modification, injections)","Electrodiagnostically or clinically confirmed median nerve compression at the wrist","Thenar muscle weakness or atrophy","Constant numbness or severe symptoms","Recurrent night symptoms disturbing sleep"],"main_risks":["Scar tenderness or pillar pain","Infection or wound problems","Incomplete symptom relief or recurrence","Stiffness or reduced grip strength temporarily","Injury to median nerve or its branches (rare)","Complex regional pain syndrome (rare)","Bleeding or hematoma","Persistent or worsening numbness/paresthesia"],"pain":"Procedure is done with local anesthesia and is little felt beyond injection. Mild to moderate wound and palm soreness for several days, usually controlled with simple analgesics; scar/pillar tenderness may persist for weeks.","preparation":["Confirmation of diagnosis by clinical exam, often nerve conduction studies","Review of medical history and current medicines with surgeon","Review any anticoagulant or antiplatelet use with the treating and prescribing clinicians; do not change prescribed medicines without their advice","Arrange transport home and help for the first days","Remove rings and jewelry from the operated hand","Follow surgeon's instructions on eating and skin care","Inform surgeon of allergies and any skin infection of the hand"],"recovery_timeline":[{"phase":"Day 0-3","description":"Bulky dressing, hand elevation, finger movement encouraged; night numbness often improves quickly.","restrictions":["Keep dressing clean and dry","Avoid heavy lifting"]},{"phase":"Days 3-14","description":"Light dressing, wound healing, sutures removed around 10-14 days if non-absorbable; light daily use.","restrictions":["Avoid forceful gripping and heavy loading","Avoid soaking the wound"]},{"phase":"Weeks 2-6","description":"Gradual return to normal hand use; scar massage; palm tenderness and grip strength improve.","restrictions":["Limit heavy manual work and repetitive strong gripping"]},{"phase":"Weeks 6-12 and beyond","description":"Return to full strength and activity; continued gradual nerve recovery.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":28,"unit":"days","qualifier":"Derived from the clinical course. Light daily activities such as dressing, eating and light typing are usually possible within days to 2 weeks once the wound is comfortable. Wound healing and the return of comfortable everyday use take about 2-4 weeks. Heavy gripping and lifting take longer, and endoscopic release is often a little faster."},"result_longevity":"Symptom relief is usually long-lasting in most patients; recurrence is uncommon but possible, especially if the original release was incomplete or with ongoing risk factors.","revision_rate_pct":{"min":0.2,"max":3,"unit":"percent","qualifier":"Repeat carpal tunnel surgery after a PRIMARY release. A large multi-surgeon study of 11,847 primary releases found 0.2% revision within 1-5 years, with no significant difference between open and endoscopic. Published revision rates vary from 0.3% to 7% depending on the setting and follow-up. The range given is the typical one for the first 1-5 years, and rates are higher with long follow-up and in dialysis patients."},"scars":"Small palmar scar (open release about 2-4 cm) or one/two small incisions (endoscopic); usually fades well, though it can be tender early.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation on one hand; the opposite hand is operated separately if needed."},"stages":[{"code":"carpal_tunnel_release","label":"Division of transverse carpal ligament to decompress median nerve","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One treatment session per hand; follow-up checks are not counted."},"success":{"metric":"Proportion of patients with symptom relief or improvement after primary carpal tunnel release","value":90,"unit":"percent","horizon":"About 1 year after surgery","population":"Adults after primary open or endoscopic carpal tunnel release for confirmed carpal tunnel syndrome","evidence_status":"proven"},"techniques":[{"name":"Open carpal tunnel release","suits_whom":"Most patients; standard approach, also for revision, anatomical variation or associated masses.","recovery":"Palm scar tenderness may last weeks; return to light activity within days."},{"name":"Endoscopic carpal tunnel release","suits_whom":"Selected patients with straightforward anatomy and a surgeon experienced with the technique.","recovery":"Possibly less early scar tenderness and slightly quicker return to function."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Operating time for one hand, typically 10-30 minutes; excludes preparation and observation."},"initial_assessment_documents":["Nerve conduction study / EMG report","Neurologist or hand surgeon report","Photos of both hands and wrists","List of blood thinners","Wrist ultrasound or MRI (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient operation per hand; stay about 7-14 days if suture removal is done abroad, otherwise 2-7 days."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=barselona/procedure=operacia-pri-kistevom-tunnelnom-sindrome/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":11},"manualSeo":[],"updatedAt":"2026-10-27T11:40:11.174Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}