Hand Tendon Repair

By Dr. Kevin Han

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GLOVES:   6.5 Micro Indicator/6.5 Micro  

Anesthesia:   General or By Choice

PREP:   Hibiclens

POSITION:   SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet, Extremity Drape, Sitting Stools

MEDICATIONS: 0.9% NACL IRRIGATION

30 ml PLAIN 0.25% Marcaine

Tisseel (or a type of Fibrin Glue) Do not Open

INSTRUMENTS: Plastic Surgery Soft Tissue Tray (Curved Littler Scissors, Curved Tenotomy Scissors, Fine Adson Pickup with Teeth), Lead Hand, Hand Kit (Finest Smooth Jacobson Forceps or McCabe Facial Nerve Dissector, Freer Elevator, Cottle Elevator, Baby Mixter Right Angle). Tendon Passer, Tendon Weavers (Straight and Curved)

EQUIPMENT:   Tourniquet, Fine Bipolar Forceps, Microsurgery Instruments (In Room, Do not Open)

SUPPLIES:  

HALF SHEET

Tongue Depressor

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)

SUTURES: Ask-4-0 NYLON P-C 3

Ask-8.0 Ethilon BV 130-4

For Tendon Repair:  3-0 or 4-FiberLoop and FiberWire Sutures, 5-0 Prolene RB-1 (None- Cutting, in Vascular Cart).

If Spaghetti Wrist or Hand: Please have at least 1 box of 3.0 Fiber Wire Available

DRESSINGS:   ADAPTIC, WET 4X4, DRY 4X4, 4″ Cast Padding x 2, 4″ PLASTER, 3″/4″ ACE WRAP, SLING (IF BLOCKED)    

NOTES: BIPOLAR 15, NO BOVIE, IF involves vessels and or nerves, please also refer to Dr. Han Free Flap Upper Extremity Card. Battery Drill/TPS Available, Prefer Arthrex Nano/Micro Corkscrew Anchors, if not available, Mitek Micro/Mini Anchors (Hold) or 1 mm Biomet Juggerknot (Hold). May need Axogen Products (Nerve Allograft) Hold .