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Related Concept Videos

Hand hygiene01:23

Hand hygiene

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Metacarpal Small Incision for Carpal Tunnel Syndrome
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Solo hand surgery.

Michael Sg Bell1, Bert J Reitsma

  • 1Department of Surgery, Division of Plastic Surgery, The Ottawa Hospital - Civic Campus, Ottawa, Ontario;

The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique
|November 14, 2013
PubMed
Summary
This summary is machine-generated.

Unassisted hand surgery is now feasible for elective and emergency cases due to resource limitations. New instruments and techniques enable surgeons to operate safely and efficiently without assistance, offering significant cost savings.

Keywords:
Anesthesia in hand surgeryCHESS system in hand surgeryHemostasis in hand surgeryMagnetic hand retractionUnassisted surgery

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Area of Science:

  • Surgical Innovation
  • Hand Surgery Techniques
  • Anesthesiology

Background:

  • Hospital resource restrictions necessitate unassisted surgical procedures.
  • Traditional surgical instruments are often unsuitable for unassisted operations.
  • A shift towards surgeon autonomy in surgical practice is emerging.

Purpose of the Study:

  • To outline principles for performing unassisted hand surgery.
  • To introduce new instruments and techniques for solo surgical practice.
  • To highlight the benefits of unassisted procedures in terms of cost and efficiency.

Main Methods:

  • Application of local anesthesia techniques.
  • Utilization of surgeon-controlled tourniquet systems.
  • Employment of novel surgical instruments designed for unassisted use.

Main Results:

  • Successful unassisted hand surgery is achievable for both elective and emergency cases.
  • New instruments enhance surgeon comfort and safety during solo procedures.
  • Significant cost savings and increased efficiency are realized in emergency and outpatient settings.

Conclusions:

  • Unassisted hand surgery is a viable and efficient option under current resource constraints.
  • Modern surgical instrument design is crucial for enabling safe and effective solo surgical practice.
  • Adoption of these techniques can lead to substantial economic and operational benefits in hand surgery.