Tourniquet-Free Hand Surgery Using the One-per-Mil Tumescent Technique

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Tourniquet-Free Hand Surgery Using the One-per-Mil Tumescent Technique

BACKGROUND A pneumatic tourniquet is generally used to achieve a bloodless operation field in hand surgery. However, this has changed with tumescent solution-based wide-awake surgery. This study is a preliminary prospective case series study to elaborate the formula and indications of the tumescent technique in hand surgery without a tourniquet. METHODS Seven patients (age range, 4 months to ...

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BACKGROUND One-per-mil tumescent solution, which contains 0.2% lidocaine with 1:1,000,000 epinephrine, has been reported to be clinically effective for hand surgery under local anesthesia. However, it was lacking in its basic pharmacokinetics profile in regard to the onset of action (OOA) and duration of action (DOA). METHODS A randomized, double-blind study was conducted on 12 volunteers who...

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Retrospective Analysis of the One-per-Million Tumescent Technique in Post-Burn Hand Deformity Surgeries

BACKGROUND The use of a tourniquet in hand surgery is generally accepted as necessary to create a clear visualization of the operative field. This study aims to determine the effectiveness of one-per-million tumescent solution (1:1,000,000 epinephrine concentration) in creating a bloodless operative field in post-burn hand deformity surgeries performed without a tourniquet. METHODS This retro...

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ژورنال

عنوان ژورنال: Archives of Plastic Surgery

سال: 2013

ISSN: 2234-6163,2234-6171

DOI: 10.5999/aps.2013.40.2.129