|
|||||
|
|
A Novel Digital Tourniquet Using a Sterile Glove and Hemostat |
|
| Authors: | Allan C. Harrington MD Jason M. Cheyney MPAS PA-C LT BSC USAF Tina Kinsley-Scott MD CAPT MSC USAF Robert J. Willard MD MAJ MC USA |
| Affiliation: | Dermatology Service, Department of Medicine, Walter Reed Army Medical Center, Washington, DC;;Department of Dermatology, Johns Hopkins University, Baltimore, Maryland;;Department of Dermatology, Malcolm Grow Medical Center, Andrews Air Force Base, Maryland;and;Department of Dermatology, Uniformed Services University, Bethesda, Maryland |
| Abstract: | Background. Surgery of the digit is facilitated with adequate hemostasis for visualization of the operative field. Several types of tourniquets have been used for this purpose, including glove fingers, Penrose drains, Marmed digital tourniquets, and standard pneumatic tourniquets. Objective. To present a novel method to achieve hemostasis during surgery of the digit. Materials. A slightly oversized sterile glove, a hemostat, and a pair of scissors. Conclusion. We present a novel method to achieve hemostasis using a sterile glove and a hemostat, that allows the surgeon to methodically titrate the amount of compression necessary to attain a bloodless field while minimizing the risks of excessive pressures. Surgery of the digit is facilitated with adequate hemostasis for visualization of the operative field. Several types of tourniquets have been used for this purpose, including glove fingers, Penrose drains, Marmed digital tourniquets, and standard pneumatic tourniquets. We present a novel method to achieve hemostasis using a sterile glove and a hemostat that allows the surgeon to methodically titrate the amount of compression necessary to attain a bloodless field while minimizing the risks of excessive pressures. |
| Keywords: | |