Linear Hand Burn Contracture Release under Local Anesthesia without Tourniquet
Autor: | Theddeus O.H. Prasetyono, Astrid Felicia Koswara |
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Rok vydání: | 2015 |
Předmět: |
Male
medicine.medical_specialty Contracture Lidocaine Thumb Fingers Young Adult medicine Humans Local anesthesia Tourniquet business.industry Hand Injuries General Medicine Tourniquets Surgery body regions medicine.anatomical_structure Male patient Anesthesia Adequate anesthesia medicine.symptom Burns business Anesthesia Local medicine.drug |
Zdroj: | Hand Surgery. 20:484-487 |
ISSN: | 1793-6535 0218-8104 |
DOI: | 10.1142/s0218810415720272 |
Popis: | The objective of this report is to present a case of hand burn linear contracture release performed under local anesthesia. It also introduces the one-per-mil tumescent solution consisted of 0.2% lidocaine and 1:1.000.000 epinephrine as a local anesthesia formula, which has the potential of providing adequate anesthesia as well as hemostatic effect during surgery of the hand without tourniquet. The surgery was performed on a 19 year-old male patient with multiple thumb and fingers flexion linear contracture for 105 minutes without any obstacle. The patient did not complain any pain and discomfort during the procedure; while bloodless operative field was successfully achieved. At four-month follow up, the patient could fully extend his thumb, middle and ring finger, while the index was limited by 10° at the DIP joint. Overall, the patient was satisfied with the outcome. |
Databáze: | OpenAIRE |
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