ADVANTAGES OF WALANT VERSUS SEDATION AND TOURNIQUET IN FLEXOR SHEATH GANGLION SURGERY
Patients no longer have to go through all the inconveniences of sedation, a tourniquet, or general anesthesia for such a minor operation.
All of the general advantages listed in Chapter 2 apply to both the surgeon and the patient.
WHERE TO INJECT THE LOCAL ANESTHETIC FOR FLEXOR SHEATH GANGLION SURGERY
Inject 2 ml of 1% lidocaine with 1:100,000 epinephrine (buffered with 10 ml lido/epi: 1 ml of 8.4% sodium bicarbonate) in each of the two red injection points shown on the distal palm and proximal phalanx. First inject the palmar red dot injection point, then the proximal phalanx.
See Chapter 1, Atlas, for more illustrations of the anatomy of diffusion of tumescent local anesthetic in the forearm, wrist, and hand.
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Chapter 23 Dupuytren′s Contracture
Chapter 25 Small Soft Tissue Operations
Chapter 3 Safe Epinephrine in the Finger Means No Tourniquet
Chapter 17 Finger and Ray Amputation
Chapter 28 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair
Chapter 35 Extensor Tendon Repair of the Finger
