Digital neurovascular compression due to a forgotten tourniquet.
The surgeon may, on occasion, wish to perform a relatively minor procedure on a single finger with some types of tourniquet at the base of the finger. A potential complication of a digital tourniquet is neurovascular damage due to excessive tissue pressure and prolonged application time. We presented a case where a hand surgery and digital tourniquet was forgotten on the finger for one and a half days. Although neurovascular compromise had occurred, the left index finger was successfully saved after extensive medical treatment and leech therapy.
Avci
Gülden
G
Department of Plastic and Reconstructive Surgery, Dr. Lütfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey. drguldenavci@hotmail.com
Akan
Mithat
M
Yildirim
Serkan
S
Aköz
Tayfun
T
D000293:Adolescent; D005385:Fingers / Q000098:blood supply* / Q000294:innervation*; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000628:therapy; D008297:Male; D019300:Medical Errors / Q000009:adverse effects*; D009408:Nerve Compression Syndromes / Q000209:etiology* / Q000628:therapy; D013997:Time Factors; D014111:Tourniquets / Q000009:adverse effects*; D016896:Treatment Outcome; D014421:Turkey