Use of WALLANT technique in hand surgery, safe and advantageous Personal experience

Journal of Clinical and Investigative Surgery. 2018;3(1):26-31 DOI 10.25083/2559.5555/31.2631

 

Journal Homepage

Journal Title: Journal of Clinical and Investigative Surgery

ISSN: 2559-5555 (Online)

Publisher: Digital ProScholar Media

Society/Institution: Digital ProScolar media

LCC Subject Category: Medicine

Country of publisher: Romania

Language of fulltext: English

Full-text formats available: PDF

 

AUTHORS

Mihaela Pertea (Grigore T. Popa University of Medicine and Pharmacy, St. Spiridon Emergency County Hospital, Department of Plastic Surgery and Reconstructive Microsurgery, Iasi, Romania)
Vladimir Poroch (Grigore T. Popa University of Medicine and Pharmacy, Regional Institute of Oncology, Department of Palliative Care, Iasi, Romania)
Oxana-Madalina Grosu (Grigore T. Popa University of Medicine and Pharmacy, St. Spiridon Emergency County Hospital, Department of Plastic Surgery and Reconstructive Microsurgery, Iasi, Romania)
Alina Manole (Grigore T. Popa University of Medicine and Pharmacy, Department of Primary Care and Epidemiology, Iasi, Romania)
Natalia Velenciuc (Grigore T. Popa University of Medicine and Pharmacy, Regional Institute of Oncology, IInd Surgical Oncology Clinic, Iasi, Romania)
Sorinel Lunca (Grigore T. Popa University of Medicine and Pharmacy, Regional Institute of Oncology, IInd Surgical Oncology Clinic, Iasi, Romania)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 12 weeks

 

Abstract | Full Text

Objectives. To confirm the efficiency of using local anesthesia with lidocaine and epinephrine in hand surgery. Materials and methods. 75 patients in whom we used local anesthesia with 1% lidocaine and epinephrine in solution 1: 100 000. We evaluated the amount of used anesthetic, the time to onset of anesthesia, intraoperative bleeding, the duration of intervention and hospitalization, immediate postoperative complications. Results. It has been no case of digital necrosis or other vascular complications and no intraoperative bleeding. The amount of the used anesthetic varied. In no case it was necessary to use of phentolamine as an antidote to the effects of adrenaline. Conclusions. Wide awake local anesthesia no tourniquet technique is safe, having many advantages: it is not necessary to use the tourniquet with or without intravenous sedation, the surgeon and patient comfort is maximum, there is no risk of digital necrosis, hospitalization time is short and the costs are minimal.