A Tunable Digital Tourniquet Using Nelaton Catheter

고무 도뇨관을 이용한 간단한 수지 지혈대

  • Kim, Sang Wha (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Yim, Young Min (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Jung, Sung No (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Kwon, Ho (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
  • 김상화 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 임영민 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 정성노 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 권호 (가톨릭대학교 의과대학 성형외과학교실)
  • Received : 2008.05.16
  • Accepted : 2008.08.05
  • Published : 2008.11.10

Abstract

Purpose: Surgery on digit requires a clear, bloodless field and it can be achieved by using a tourniquet. Several type of tourniquet have been used including Penrose drains and sterile glove with hemostat. We present a simple digital tourniquet using nelaton catheter, which is easily available, inexpensive, easy-to-apply, and effective for digital surgery. Methods: We made a small incision on the opposite side of an opening at the tip of nelaton catheter. Then the other tip of nelaton catheter is passed through the incision to form a ring. Nelaton catheter is placed aournd the base of the injured finger, making a tight circle to desired pressure. Results: A simple tourniquet using nelaton catheter effectively achieves a bloodless field and allows fine control of the pressure for digital surgery. Conclusion: We present a sismple digital tourniquet using nelaton catheter, which is easily available, inexpensive, tunable, and available for more than one finger.

Keywords

References

  1. Harrington AC, Cheyney JM, Kinsley-Scott T, Willard RJ: A novel digital tourniquet using a sterile glove and hemostat. Dermatol Surg 30: 1065, 2004 https://doi.org/10.1111/j.1524-4725.2004.30314.x
  2. Smith IM, Austin OM, Knight SL: A simple and fail safe method for digital tourniquet. J Hand Surg 27: 363, 2002
  3. Aslan G, Sarifakioglu N, Bingul F: Simple and effective device for finger tourniquet: a rolled penrose drain. Plast Reconstr Surg 111: 1758, 2003 https://doi.org/10.1097/00006534-200304150-00030
  4. Tang WY: A latex finger strip and nylon zip-tie combo as a tunable digital tourniquet. Dermatol Surg 33: 713, 2007 https://doi.org/10.1111/j.1524-4725.2007.33148.x