+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Evaluation of a new tourniquet for hand surgery: Comparison of 76 carpal tunnel syndrome cases operated using a Hemaclear(®) Model-F tourniquet versus a pneumatic tourniquet



Evaluation of a new tourniquet for hand surgery: Comparison of 76 carpal tunnel syndrome cases operated using a Hemaclear(®) Model-F tourniquet versus a pneumatic tourniquet



Chirurgie de la Main 34(2): 73-78



The aim of this study was to compare a forearm-specific, sterile, single-use, non-pneumatic tourniquet to a conventional pneumatic tourniquet during carpal tunnel syndrome procedures. Patients with a systolic blood pressure exceeding 160 mmHg were excluded. The study included 76 patients. In 38 patients, surgery was performed with a pneumatic tourniquet on the forearm. In the remaining 38 patients, surgery was performed with a Hemaclear(®) Model-F tourniquet. There were no significant differences between the two groups in terms of quality of the exsanguination or pain experienced by the patient. The duration of surgery was significantly faster by 30 seconds with the Hemaclear(®) tourniquet but the procedure cost was about €30 more. The forearm-specific Hemaclear(®) tourniquet has several theoretical advantages, but our clinical results do not support these advantages in terms of quality of the surgical exsanguination and pain experienced by the patient. The duration of surgery was significantly shorter, but at the price of a higher surgery cost.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 057810678

Download citation: RISBibTeXText

PMID: 25772086

DOI: 10.1016/j.main.2015.01.005


Related references

Silicone ring tourniquet versus pneumatic cuff tourniquet in carpal tunnel release: a randomized comparative study. Journal of Orthopaedics and Traumatology 14(2): 131-135, 2013

Narrow elastic disposable tourniquet (Hemaclear®) vs. traditional wide pneumatic tourniquet for creation or revision of hemodialysis angioaccesses. Journal of Vascular Access 17(3): 205-209, 2016

Silicone ring tourniquet versus pneumatic cuff tourniquet in total knee arthroplasty surgery: A randomised comparative study. Journal of Orthopaedics 15(2): 545-548, 2018

A pneumatic-tourniquet test in the carpal-tunnel syndrome. Lancet 265(6786): 595-597, 1953

Value of Gilliatt's pneumatic tourniquet test for diagnosis of carpal tunnel syndrome. Chirurgie de la Main 31(3): 152-156, 2012

The Sterile Elastic Exsanguination Tourniquet vs. the Pneumatic Tourniquet for Total Knee Arthroplasty. Journal of Arthroplasty 30(4): 595-599, 2015

Silicone ring tourniquet or pneumatic cuff tourniquet for total knee arthroplasty. International Orthopaedics 40(9): 1803-1806, 2016

Prevention of tourniquet injuries. Presentation of a new constant-pressure pneumatic tourniquet. Annales de Chirurgie 28(4): 323-326, 1974

Comparison of Two Tourniquets on a Mid-Thigh Model: The Israeli Silicone Stretch and Wrap Tourniquet vs. The Combat Application Tourniquet. Military Medicine 183(Suppl_1): 157-161, 2018

Muscle injury induced beneath and distal to a pneumatic tourniquet: a quantitative animal study of effects of tourniquet pressure and duration. Journal of Hand Surgery 16A(4): 610-621, 1991

The Effect of the Silicone Ring Tourniquet and Standard Pneumatic Tourniquet on the Motor Nerve Conduction, Pain and Grip Strength in Healthy Volunteers. Archives of Bone and Joint Surgery 4(1): 16-22, 2016

Releasing the tourniquet in carpal tunnel surgery. Hand 5(1): 57-59, 2010

Perceived comfort during minor hand surgeries with wide awake local anaesthesia no tourniquet (WALANT) versus local anaesthesia (LA)/tourniquet. Journal of Orthopaedic Surgery 25(3): 2309499017739499, 2018

Carpal tunnel syndrome. Diagnostic and prognostic value of the tourniquet test. Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 70(3): 245-251, 1984

The Combat Application Tourniquet Versus the Tactical Mechanical Tourniquet. Journal of Special Operations Medicine 18(3): 75-78, 2018