Out-patient surgery for Dupuytren's disease under intravenous regional anaesthesia.
During a six-month period, 55 operations for Dupuytren's contracture were performed on an out-patient basis. Intravenous regional anaesthesia was used in all cases, and the skin was closed primarily by Z-plasties. This method, which has not been published earlier, does not allow the surgeon to release the tourniquet before securing haemostasis. It is left to the patients to manage the post-operative elevation. No cases of post-operative haematoma occurred, and recovery of hand function was good in all cases. The method saves resources and is well-tolerated by patients.
Kjeldal
I
I
Department of Hand Surgery, Gentofte Hospital, University of Copenhagen, Denmark.
Nygaard
H P
HP
D000556:Ambulatory Surgical Procedures; D000765:Anesthesia, Conduction; D000771:Anesthesia, Intravenous; D004387:Dupuytren Contracture / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged