Simple technique for exsanguination of the hand

Hand surgery is facilitated by the production of a bloodless operative field by exsanguination and the use of a pneumatic tourniquet. Exsanguination can be achieved by a variety of techniques, including elevation alone, use of an Esmarch or crepe bandage, or a Rhys-Davies exsanguinator. We present a simple, effective method of exsanguination of the hand for use in procedures performed under local anaesthesia such as carpal tunnel decompression. No additional equipment is required and therefore there is no risk of transmission of infection. The hand is exsanguinated after surgical preparation and draping, thus minimising the tourniquet time.