"Sore paw"

In the course of my web research I have found your excellent website.
I'm a veterinary surgeon who works with large and small animals. My work requires everything from fine, detailed surgery to dealing with the complexities of cows calving, etc. I am also required to operate high revolution dental equipment.
Symptoms of my carpal tunnel syndrome were perhaps slightly different from the norm. I'm 60 years old, very dominantly right-handed, and over a period of years I had tingling in my hands, especially when doing things like driving, but I experienced no pain and therefore, as a busy self-employed professional, took little notice. However, in 2013 I became aware that my right thenar eminence had considerably wasted (as had my left, to a lesser degree), my hand was weakening, I had lost some sensation and I did not feel as comfortable performing a number of my veterinary functions as I had previously.
I sought medical advice, had nerve conductivity studies and it was recommended that I have surgery, which took place in 2014.
Since then, my right thenar eminence remains wasted, my hand function has remained much the same although the nerve conductivity did reflect some improvement which I was happy with.
I still feel I do not have the dexterity to perform many of the functions of my role that require fine motor control, and I lack the strength to accurately direct instruments over sustained periods with an outstretched arm in the compressed birthing canal of a cow, which is not infrequently required in large animal practice.
I'm largely unhindered in my everyday personal living (although my wife will testify to my increasing clumsiness!), but my profession generally requires far more of my hands than my home life does.
I have had my nerve conductivity studies repeated twice more now.

The results
2013
Motor:
R median: CV. - ; TML - absent
L median: CV 52.1; TML 4.0
R ulnar: CV 57.5; TML 1.96
L ulnar: CV 56.9; TML 2.1

Sensory - 13.7 mA; 0.1 ms; 0.1 Hz
R median: DIST Nil; LAT - ; CV - ; AMP -
L median: DIST 130; LAT 3.3 ; CV 46.4; AMP 2
R ulnar: DIST 110; LAT 2.3; CV 55; AMP 2.3
L ulnar: DIST 110; LAT 2.4; CV 56.1; AMP 2.2

2015
Motor:
R median: CV 28.7; TML 4.8
L median: CV 48.1; TML 4.2
R ulnar: CV 51.8; TML 2.1
L ulnar: CV 53.7; TML 2.1

Sensory - 11.8 mA; 0.1 ms; 0.1 Hz
R median: DIST Nil; LAT - ; CV - ; AMP -
L median: DIST 130; LAT 4; CV 38.2; AMP 3.8
R ulnar: DIST 120; LAT 2.5; CV 57.1; AMP 2.1
L ulnar: DIST 120; LAT 2.5; CV 60; AMP 2.7

2016
Motor:
R median: CV 41.4; TML 4.9
L median: CV 49; TML 4.2
R ulnar: CV 58 ; TML 2.3
L ulnar: CV 58; TML 2.1

Sensory - 14.6 mA; 0.1 ms; 0.1 Hz
R median: DIST Nil; LAT - ; CV - ; AMP -
L median: DIST 130; LAT 3.8 ; CV 40.6; AMP 4.1
R ulnar: DIST 120; LAT 2.5; CV 62.5; AMP 5.2
L ulnar: DIST 120; LAT 2.5; CV 63.8; AMP 3.4

A repetition of the surgery has been recommended. While I would be happy to have this surgery if I felt confident that it would achieve the desired outcome, I'm trying to get my head around my chances of regaining the strength, sense of feel and fine motor control to the extent I require.

I've read through the information on your website and you provide excellent information, but if you would have a moment to comment on the merits of a second operation in my own particular situation, from the information I've provided to you, it would greatly help in informing my consideration of the matter.

I can email any further documentation that might be of use.

Thank very much for your time.