Cargando…

Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery

Sterile silicone ring tourniquets (SSRTs) reduce intraoperative bleeding and provide a wide surgical view. Moreover, they reduce the risk of contamination and are cheaper than conventional pneumatic tourniquets. Our study describes the perioperative outcomes of sterile silicone ring tourniquet place...

Descripción completa

Detalles Bibliográficos
Autores principales: Bae, Kunhyung, Kim, Gisu, Aldosari, Amaal M., Gim, Yeonji, Kwak, Yoon Hae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10301790/
https://www.ncbi.nlm.nih.gov/pubmed/37373968
http://dx.doi.org/10.3390/jpm13060979
_version_ 1785064895959531520
author Bae, Kunhyung
Kim, Gisu
Aldosari, Amaal M.
Gim, Yeonji
Kwak, Yoon Hae
author_facet Bae, Kunhyung
Kim, Gisu
Aldosari, Amaal M.
Gim, Yeonji
Kwak, Yoon Hae
author_sort Bae, Kunhyung
collection PubMed
description Sterile silicone ring tourniquets (SSRTs) reduce intraoperative bleeding and provide a wide surgical view. Moreover, they reduce the risk of contamination and are cheaper than conventional pneumatic tourniquets. Our study describes the perioperative outcomes of sterile silicone ring tourniquet placement in pediatric patients undergoing orthopedic surgery. We prospectively recruited 27 pediatric patients aged < 18 years who underwent 30 orthopedic surgeries between March and September 2021. Following complete surgical draping, all operations were initiated by placing SSRTs. We investigated the demographic and clinical characteristics of these patients, details of the tourniquet used, and intra- and postoperative outcomes of tourniquet placement. Owing to the narrowness of tourniquet bands and tourniquet placement at the proximal ends of the extremities, wide surgical fields were achieved, without limiting joint range of motion. Bleeding control was effective. Tourniquets were applied and removed rapidly and safely, regardless of limb circumference. None of the patients experienced postoperative pain, paresthesia, skin problems at the application site, surgical site infections, ischemic problems, or deep vein thrombosis. SSRTs effectively reduced intraoperative blood loss and facilitated wide operative fields in pediatric patients with various limb sizes. These tourniquets allow quick, safe, and effective orthopedic surgery for pediatric patients.
format Online
Article
Text
id pubmed-10301790
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103017902023-06-29 Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery Bae, Kunhyung Kim, Gisu Aldosari, Amaal M. Gim, Yeonji Kwak, Yoon Hae J Pers Med Article Sterile silicone ring tourniquets (SSRTs) reduce intraoperative bleeding and provide a wide surgical view. Moreover, they reduce the risk of contamination and are cheaper than conventional pneumatic tourniquets. Our study describes the perioperative outcomes of sterile silicone ring tourniquet placement in pediatric patients undergoing orthopedic surgery. We prospectively recruited 27 pediatric patients aged < 18 years who underwent 30 orthopedic surgeries between March and September 2021. Following complete surgical draping, all operations were initiated by placing SSRTs. We investigated the demographic and clinical characteristics of these patients, details of the tourniquet used, and intra- and postoperative outcomes of tourniquet placement. Owing to the narrowness of tourniquet bands and tourniquet placement at the proximal ends of the extremities, wide surgical fields were achieved, without limiting joint range of motion. Bleeding control was effective. Tourniquets were applied and removed rapidly and safely, regardless of limb circumference. None of the patients experienced postoperative pain, paresthesia, skin problems at the application site, surgical site infections, ischemic problems, or deep vein thrombosis. SSRTs effectively reduced intraoperative blood loss and facilitated wide operative fields in pediatric patients with various limb sizes. These tourniquets allow quick, safe, and effective orthopedic surgery for pediatric patients. MDPI 2023-06-10 /pmc/articles/PMC10301790/ /pubmed/37373968 http://dx.doi.org/10.3390/jpm13060979 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bae, Kunhyung
Kim, Gisu
Aldosari, Amaal M.
Gim, Yeonji
Kwak, Yoon Hae
Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery
title Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery
title_full Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery
title_fullStr Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery
title_full_unstemmed Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery
title_short Sterile Silicone Ring Tourniquets in Limb Surgery: A Prospective Clinical Trial in Pediatric Patients Undergoing Orthopedic Surgery
title_sort sterile silicone ring tourniquets in limb surgery: a prospective clinical trial in pediatric patients undergoing orthopedic surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10301790/
https://www.ncbi.nlm.nih.gov/pubmed/37373968
http://dx.doi.org/10.3390/jpm13060979
work_keys_str_mv AT baekunhyung sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery
AT kimgisu sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery
AT aldosariamaalm sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery
AT gimyeonji sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery
AT kwakyoonhae sterilesiliconeringtourniquetsinlimbsurgeryaprospectiveclinicaltrialinpediatricpatientsundergoingorthopedicsurgery