Leprosy
Mailing List – March 5th, 2010
Ref.: Tourniquet
in reconstructive surgery
From: T
S Narayanakumar,
Kumbakonam
,
India
Dear
Dr Noto,
I
refer to “Nerve function loss after reconstructive surgery” by
Angelica Piefer dated January 23, 2010. I
have been following the communications regarding tourniquet in
reconstructive surgery and I wish to add my observation.
I
have used tourniquet in my patients both at Sacred Heart Leprosy
Centre, Kumbakonam and Hoina Leprosy Research Centre, Muniguda.
On few occasions, when I had extended tourniquet duration beyond 45
minutes, which is the usual, most of the patients used to complain of
pain due to ischemia, especially when the duration exceed 50 to 55
minutes. That is the
warning and indication to deflate the tourniquet at once.
Thanks,
With
regards,
Narayanakumar
T
S Narayanakumar
,
General
and Hand Surgeon,
25,
Gandhi Nagar,
Kumbakonam-612001
India
E
mail drtsnkumar(at)yahoo.co.in
