Eur J Plast Surg (2015) 38:345–346 DOI 10.1007/s00238-015-1079-0 LETTER TO THE EDITOR Modified application of thumb tourniquet to enlarge the operative field Ersin Aksam & Mustafa Erol Demirseren Received: 2 August 2014 /Accepted: 14 August 2014 /Published online: 7 April 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, modified application of the thumb tourniquet beyond the The use of sterile gloves as finger tourniquets is well ac- MCP joint to enlarge the operative field. After rolling the cepted by plastic surgeons. They provide a bloodless field glove to the base of the first proximal phalanx, the glove is with low costs. It is highly consistent and uniformly gen- fixed to the skin at the mid-part of the first metacarpal with erates pressures less than 500 mmHg which does not cause a single stitch (generally with 4/0 absorbable braided su- nerve degeneration [1, 2]. Finger tourniquets that are placed ture). The operative field is approximately doubled in at the base of the fingers are out of the operative field length and extended over the MCP joint (Fig. 1). After when the surgery is carried out in the distal parts of the the operation, we cut the glove first and take out the
European Journal of Plastic Surgery – Springer Journals
Published: Apr 7, 2015
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