Hand Tendon Repair

By Dr. Kevin Han
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 .