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. 2005 Fall;13(3):145-7.
doi: 10.1177/229255030501300306.

Solo hand surgery

Michael Sg Bell  1 , Bert J Reitsma
Affiliations

Solo hand surgery

Michael Sg Bell et al. Can J Plast Surg. 2005 Fall.

Abstract
in English, French

Unassisted hand surgery is being undertaken by necessity for both elective and emergency cases, due to hospital resource restrictions. The authors outline the principles of local anesthesia, surgeon-controlled tourniquet techniques, and a number of new instruments which allow a surgeon to work in comfort and safety, unassisted. The traditional surgical instruments designed for the days when trained surgical assistants were available to hold them are no longer suitable. We are entering a new era of surgical design with safer instruments that can complement our skills rather than challenge them. There are significant cost savings and efficiency when hand procedures are undertaken in the emergency and outpatient clinic settings.

Une opération non assistée de la main est entreprise par nécessité tant dans des cas non urgents qu’urgents, en raison des compressions aux ressources hospitalières. Les auteurs exposent les principes de l’anesthésie locale, les techniques de garrot contrôlées par le chirurgien et un certain nombre de nouveaux instruments qui permettent au chirurgien de travailler à l’aise et en sécurité, sans aide. Les instruments chirurgicaux classiques conçus pour l’époque où des assistants chirurgicaux étaient disponibles pour les tenir ne conviennent plus. S’ouvre une époque de conception chirurgicale où des instruments plus sécuritaires peuvent compléter nos aptitudes plutôt que les compliquer. D’importantes économies et une plus grande efficacité sont constatées lorsque des opérations de la main sont entreprises en urgence et en consultations externes.

Keywords: Anesthesia in hand surgery; CHESS system in hand surgery; Hemostasis in hand surgery; Magnetic hand retraction; Unassisted surgery.

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Figures

Figure 1)
Figure 1)
The PalmSpring retractor (Canica Design, Canada) can be operated with one hand. The Penrose drain tourniquet is secured with forceps and can be applied and removed with ease by the surgeon
Figure 2)
Figure 2)
CANICA Hand Surgery System (Canica Design, Canada)
Figure 3)
Figure 3)
Dynamic microhook traction pulling proximal median nerve into alignment for microanastamosis
Figure 4)
Figure 4)
Postmedial nerve repair showing nerve microhook and silicone elastomer
See this image and copyright information in PMC

References

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