Tang William Yuk Ming
Dermatology Research Center, Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong.
Dermatol Surg. 2007 Jun;33(6):713-5. doi: 10.1111/j.1524-4725.2007.33148.x.
Surgery on digit and nail requires a clear bloodless field that is often achieved by a tourniquet.
The objective is to present a simple, effective, and safe tourniquet for digital surgery.
A latex glove and a nylon zip-tie were used. A long strip is cut from the little finger tube of a latex glove. This is used for wrapping around the digit for exsanguination. The pressure is then maintained with a household nylon zip-tie. The finger strip is then cut to expose the operative field ready for surgery. The tourniquet pressure can be adjusted by tightening or loosening of the nylon zip-tie.
Exsanguination and a bloodless field can be effectively achieved. The long tail of the nylon zip-tie reminds the operator to remove it at end of the surgery.
A latex strip and nylon zip-tie combo serves as a simple, effective, and safe tourniquet for digital surgery.