A novel technique for continuous cooling till re-establishment of blood flow during major limb replants

Firstly, the crushed ice is filled in unsterile gloves and they are closed using a thread or rubber band. Then, a sterile double‐layered polythene sheet is rolled and closed at one end and the gloves are laid down in a line by another person inside rolled polythenesheet. Afterwards, the sheet is completely rolled with the sterile surface exposed and other end is also closed. Now, a sterile cling sheet (bandages are less efficient) is used to completely seal this roll from end to end, and an ice pack is ready to be used in the sterile field [Figure 1]. We can alter the size and number according to our needs, and unused ones can be preserved in a freezer for future use during the surgery [Figure 2].