Dupuytrens Palmar Fasciectomy

By Dr. Kevin Han

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GLOVES:   6.5 Micro Indicator/6.5 Micro  

Anesthesia:   Block

PREP:   Hibclens

POSITION:   SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet with “10 x 10” around Tourniquet, Extremity Drape, Sitting Stools,

MEDICATIONS: 0.9% NACL IRRIGATION

20 ml PLAIN 1% LIDOCAINE

Tisseel (or a type of Fibrin Glue) Do not Open. Okay if not available

INSTRUMENTS: Lead Hand. Plastic Surgery or/and Hand Tray (Curved Littler Scissors, Ragnel, Fine Mosquitos)

EQUIPMENT:   Tourniquet

SUPPLIES:  

HALF SHEET

Extremity Drape

Ray-Tech

LIGHT HANDLE COVER

15 BLADE (3)

#6900 Beaver Blade

10CC SYRINGE (1)

25 GAUGE HYPO (1)

BASIN FOR NACL (1)

BIPOLAR CORD

TOURNIQUET 18”

4” ESMARK (OPEN, STERILE)

4” WEBRIL (UNDER TOURNIQUET)

CLIP APPLIER 106781 MULTI SMALL

VESSEL LOOPS MINI

SUTURES: 4-0 NYLON P-C 3

DRESSINGS:   ADAPTIC, WET 4X4, DRY 4X4, 4″ WEBRIL 4″ PLASTER, 3″/4″ ACE WRAP, SLING (IF BLOCKED)    

NOTES: BIPOLAR 15, NO BOVIE,