Title: WALANT Procedure in the Office Setting

Description

Wide Awake Local Anesthesia No Tourniquet (WALANT) is a surgical technique that allows many hand and wrist procedures to be safely performed in an office setting using local anesthesia without sedation or a tourniquet. Patients remain awake, enabling surgeons to assess movement and function during the procedure while reducing anesthesia-related risks. WALANT improves efficiency, lowers costs, minimizes preoperative requirements, and shortens recovery time, creating a safe, convenient, and patient-centered alternative to traditional operating room surgery.

Program Objectives: Understand the clinical principles and benefits of the WALANT technique.

• Identify appropriate patient selection criteria and procedures suitable for an office-based setting.
• Review safety protocols, infection control measures, and risk mitigation strategies.
• Examine operational workflows, staffing considerations, and supply needs to support in-office surgery.
• Evaluate the financial and patient-experience advantages compared to traditional operating room procedures.
• Promote best practices to ensure high-quality outcomes and patient satisfaction

Speaker: Arjun Dhayalan, MD
NHOC, Hand & Upper Extremity Surgery

Arjun Dhayalan, MD is a fellowship-trained orthopedic surgeon specializing in hand and upper extremity surgery. He is board certified by the American Board of Orthopedic Surgery and is a member of the American Society for Surgery of the Hand. He completed his fellowship in hand surgery at the Lahey Clinic in 2023 and his residency in orthopedic surgery at UMass Chan Medical School in 2022. Dr. Dhayalan is a hand surgeon at OrthoVirginia Chesapeake and Virginia Beach. He has a special interest in minimally invasive surgery, and wide-awake local only anesthesia (WALANT) office-based procedures.

Education & Training

Lahey Clinic Fellowship, Hand Surgery (Orthopaedic Surgery), 2022 – 2023
UMass Chan Medical School Residency, Orthopaedic Surgery, 2017 – 2022
Albany Medical College Class of 2017

Certifications & Licensure

NH State Medical License 2025 – 2027
VA State Medical License 2023 – 2026
MA State Medical License 2017 – 2023
American Board of Orthopaedic Surgery Orthopaedic Surgery

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