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Safe Finger Tourniquet--Ideas.
Lin-Gwei Wei1, Chieh-Feng Chen, Chun-Yuan Hwang
1From the *Division of Plastic Surgery, Department of Surgery, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan, Republic of China; and †Wan Fang Medical Center, Taipei Medical University, Taipei, Taiwan, Republic of China.
Annals of Plastic Surgery
|February 9, 2016
Summary
A modified glove technique creates a safe finger tourniquet for short finger surgeries, preventing ischemic injuries from forgotten tourniquets. This simple method ensures tourniquet removal, leading to excellent surgical outcomes.
Area of Science:
- Hand Surgery
- Surgical Innovation
- Patient Safety
Background:
- Phalangeal surgeries often require tourniquets for optimal outcomes.
- Forgetting to remove tourniquets can lead to severe ischemic injuries.
Purpose of the Study:
- To present a modified, safe finger tourniquet method for short-duration digital surgeries.
- To prevent tourniquet-related ischemic injuries in finger surgeries.
Main Methods:
- A modified technique using a standard surgical glove.
- Cutting the glove tip over the target finger and rolling it to the base to create a tourniquet.
- Application in 54 patients undergoing digital surgical procedures between 2010 and 2013.
Main Results:
- The modified glove tourniquet was successfully applied in all 54 patients.
- No instances of forgotten tourniquets or subsequent ischemic injuries were reported.
- Achieved excellent surgical results due to a bloodless surgical field.
Conclusions:
- This modified glove technique offers a simple, efficient, and safe method for finger tourniquets in short surgeries.
- It effectively prevents the critical complication of forgotten tourniquets and associated injuries.
- The method is highly reliable for achieving bloodless digital surgical fields and optimal surgical results.
