Wide awake hand surgery means no sedation, no tourniquet, and no general anaesthesia for hand surgery. The only medications given to the patient are lidocaine with adrenaline. Lidocaine is for anaesthesia, and adrenaline provides haemostasis, which deletes the need for a tourniquet. This technique was popularised by Donald H. Lalonde.
The following photos showed how an excision biopsy of a dorsal wrist ganglion can be done using wide awake technique
by Hand Clinic Malaysia