Hand surgery

Wide Awake Hand Surgery

“Wide Awake Hand Surgery” is a small illustrated technical book written by Donald Lalonde, who is a professor at Dalhousie Medical School in New Brunswick, Canada. Dr. Lalonde has extensive expertise in hand surgery, with many years of experience using local anesthetics with epinephrine in surgery. This book is written in a simple, easy-to-understand manner; as the author states in the preface,...

Surgery of the Hand

Hand-assisted laparoscopic surgery.

HYPOTHESIS Hand-assisted laparoscopic surgery (HALS) has been proposed as a useful alternative to conventional open or laparoscopic surgery. However, most information is fragmented and comes from specific or selective indications. To assess the current situation of HALS, a general overview of the fields of application, results, and quality of the evidence of these results is necessary. DATA S...

Surgery of the Hand

Epinephrine and hand surgery.

CURRENT OPINION Traditional concern regarding the use of epinephrine in the fingers is based on 21 reported cases of digital necrosis after being injected with a local anesthetic with epinephrine. Most occurred before 1950 and all used procaine, which may have been expired and thus may have had a toxically low pH. The effects of epinephine can be easily and expediently reversed with the use f p...