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Digital neurovascular compression due to a forgotten tourniquet
Gülden Avci1, Mithat Akan, Serkan Yildirim
1Department of Plastic and Reconstructive Surgery, Dr. Lütfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey. drguldenavci@hotmail.com
Summary
A digital tourniquet left on a finger for 36 hours caused neurovascular damage. Prompt medical treatment and leech therapy successfully saved the index finger, highlighting potential tourniquet complications in hand surgery.
Area of Science:
- Hand Surgery
- Vascular Surgery
- Trauma Management
Background:
- Digital tourniquets are used for minor finger procedures.
- Potential complications include neurovascular damage from prolonged use and excessive pressure.
Observation:
- A case involving a forgotten digital tourniquet applied for 36 hours is presented.
- The patient experienced significant neurovascular compromise in the affected finger.
Findings:
- Despite prolonged tourniquet application and resulting neurovascular compromise, the index finger was salvaged.
- Successful treatment involved extensive medical intervention and leech therapy.
Implications:
- This case underscores the critical importance of monitoring tourniquet application times to prevent severe complications.
- It highlights the potential efficacy of advanced treatments like leech therapy in managing complex digital ischemia cases.