eSurgery

With the right technique and positioning, this can be done through a short incision eg 2cm in a lean patient
(best position is with the arm at about 70-80 degree angle from the body)

A grooved director is used to protect the median nerve as the transverse carpal ligaments is cut

One cannot see the benefit from doing it endoscopically from making two cuts instead of one – in fact the serious risk of median nerve injury is well documented in endoscopic carpal tunnel release. In addition, on is dividing the transverse carpal ligaments – hence pilar pain postop(the main cause of chronic pain after the surgery) can still be present