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Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

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Nội dung chi tiết: Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

ChapterDigital Nerve Blocks21(Finger and Toe Blocks)R Dayananda BabuANATOMYThere are four digital nerves for each finger/toe including the thumb and g

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2great toe (Fig. 21.1). The palmar digital nerves have the most extensive sensory distribution (Fig. 21.2). They are responsible for the distal finger

andExtensor tendonDorsal digital nerveDigital arteryPalmar digital nerveFlexor tendonsPin 1 1ii'-in rsế rliriifrthùind rvalrwarnaniarDigital Nerve Blo Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

cks (Finger and Toe Blocks)Ulnar nerve (palmar digital nerve)Ulnar nerve (dorsal branch)Ulnar nerveFig. 21.2: Sensory innervations of the dorsal and p

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

almar viewfingertips sensation including the nail bed. Although the dorsal nerves have a lesser distribution, there is sufficient overlap with the pal

ChapterDigital Nerve Blocks21(Finger and Toe Blocks)R Dayananda BabuANATOMYThere are four digital nerves for each finger/toe including the thumb and g

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2 the phalanges and these structures act as landmarks for locating the nerves.Indications1For suturing of the wounds distal to the level of the midprox

imal phalanx/ toe.2For removal of nail.3For paronychia drainage.4For pulp abscess drainage.5For repair of lacerations of the digits.TECHNIQUES FOR DIG Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

ITAL NERVE BLOCKFor the procedure, 1% lignocaine without adrenaline is recommented. Usually 4 mL of the solution is used.Small needle of sizes 24 to 2

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

8 gauge are used for injection. Two needle pricks are used to block the nerves on either side. Hie needle is introduced into the dorsolateral aspect o

ChapterDigital Nerve Blocks21(Finger and Toe Blocks)R Dayananda BabuANATOMYThere are four digital nerves for each finger/toe including the thumb and g

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2ting the needle to the palmar nerve. Approximately 0.5 mL of the anesthetic is delivered to the dorsal digital now. Hie needle is then withdrawn and r

edirected adjacent to the bone of the phalanx to the volar surface of the digit and 1 mL of the solution is deposited at the site of the palmar nerve. Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

Hie procedure is repeated on the other side of the digit to achieve full finger/toe anesthesia (Fig. 21.3).106Surgical HandicraftFig. 21.3: Performin

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

g digital nerve block in hand and toeThe deposition of local anesthetic into the web space prevents excessive buildup of pressure on the digital nerve

ChapterDigital Nerve Blocks21(Finger and Toe Blocks)R Dayananda BabuANATOMYThere are four digital nerves for each finger/toe including the thumb and g

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2 will ensure good blockade because the course of the nerve is adjacent to the bone. A complete blockade is usually achieved within 4 to 5 minutes.Mino

r Surgical Procedures of Subcutaneous SwellingsR Dứyananda BabuLYMPH NODE BIOPSY, EXCISION OF CYSTIC SWELLINGS AND LIPOMA UNDER LOCAL ANESTHESIALYMPH Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

NODE BIOPSYIn general terms, lymph nodes in the neck, supraclavicular fossa, axilla or groin should be biopsied under a general anesthesia. However, i

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

f they are very easily defined and the doctor is experienced, superficial lymph nodes may be excised using local anesthetic infiltration. In generaliz

ChapterDigital Nerve Blocks21(Finger and Toe Blocks)R Dayananda BabuANATOMYThere are four digital nerves for each finger/toe including the thumb and g

Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2ferable to take axillary rather than the inguinal (inguinal lymph nodes are enlarged in bare-footed persons, and therefore, may not be significant).St

eps of Lymph Node Biopsy of Neck Ebook Surgical handicraft manual for surgical residents and surgeons (1st edition): Part 2

ChapterDigital Nerve Blocks21(Finger and Toe Blocks)R Dayananda BabuANATOMYThere are four digital nerves for each finger/toe including the thumb and g

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