title: Evaluation of a new tourniquet for hand surgery: Comparison of 76 carpal tunnel syndrome cases operated using a Hemaclear(®) Model-F tourniquet versus a pneumatic tourniquet.
abstract: The aim of this study was to compare a forearm-specific, sterile, single-use, non-pneumatic tourniquet to a conventional pneumatic tourniquet during carpal tunnel syndrome procedures. Patients with a systolic blood pressure exceeding 160 mmHg were excluded. The study included 76 patients. In 38 patients, surgery was performed with a pneumatic tourniquet on the forearm. In the remaining 38 patients, surgery was performed with a Hemaclear(®) Model-F tourniquet. There were no significant differences between the two groups in terms of quality of the exsanguination or pain experienced by the patient. The duration of surgery was significantly faster by 30 seconds with the Hemaclear(®) tourniquet but the procedure cost was about €30 more. The forearm-specific Hemaclear(®) tourniquet has several theoretical advantages, but our clinical results do not support these advantages in terms of quality of the surgical exsanguination and pain experienced by the patient. The duration of surgery was significantly shorter, but at the price of a higher surgery cost.
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, 10, avenue Baumann, 67403 Illkirch, France.
authors.forename: A
authors.initials: A
authors.lastname: Pereira
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, 10, avenue Baumann, 67403 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Hendriks
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, 10, avenue Baumann, 67403 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Department of Plastic Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, 67000 Strasbourg, France.
authors.forename: F
authors.initials: F
authors.lastname: Bodin
authors.affiliation: Department of Plastic and Hand Surgery, Conception Hospital, 13000 Marseille, France.
authors.forename: A
authors.initials: A
authors.lastname: Gay
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, 10, avenue Baumann, 67403 Illkirch, France. Electronic address: Philippe.liverneaux@chru-strasbourg.fr.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002349:Carpal Tunnel Syndrome / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D006225:Hand / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000295:instrumentation; D012189:Retrospective Studies; D014111:Tourniquets
keywords: Canal carpien; Carpal tunnel; Chirurgie de la main; Exsanguination; Garrot; Hand surgery; Tourniquet