HYPOTHESIS Hand-assisted laparoscopic surgery (HALS) has been proposed as a useful alternative to conventional open or laparoscopic surgery. However, most information is fragmented and comes from specific or selective indications. To assess the current situation of HALS, a general overview of the fields of application, results, and quality of the evidence of these results is necessary. DATA S...

Abstract Aim To evaluate the management of The Royal Devon and Exeter Hospital (RD&E) bespoke hand surgery service on paediatric closed fractures. In particular, an assessment against British Society for Surgery Hand (BSSH) fracture standards treatment timelines national guidance compliance. Method A retrospective review all patients requiring plastic seen at RD&E plastics trauma clinic...

CURRENT OPINION Traditional concern regarding the use of epinephrine in the fingers is based on 21 reported cases of digital necrosis after being injected with a local anesthetic with epinephrine. Most occurred before 1950 and all used procaine, which may have been expired and thus may have had a toxically low pH. The effects of epinephine can be easily and expediently reversed with the use f p...

Local Anesthesia is performed via drugs administrated subcutaneously for narcotizing small areas (finger, small skin cuts etc.). With this method, patient relaxation is provided through intravenous relaxing drugs. It is simple, easy to apply and less risky method. It is the best method for managing the pain in small surgical procedures. The patient may be discharged just after the operation. Th...

THIIS work is divided into three parts -Infections, Injuries, and Other Surgical Lesions. The first two parts contain detailed accounts of infections and injuries, the essential features of which are clearly shown in many beautiful X-ray plates and diagrams. In fact, much instruction is to be gained by a study of the illustrations alone. The author is to be congratulated on his excellent exposi...

P. C. Leung, MBBS, MS, FRACS, FRACS(E) Department of Orthopaedics & Traumatic Surgery Faculty of Medicine The Chinese University of Hong Kong Shatin, New Territories Hong Kong When referring to amputation, the immediate association tends to be amputation related to trauma. There is little doubt that injury is by far the commonest cause of amputation, but one must not forget that babies might al...

There are a number of anatomically unique spaces and compartments in the hand. Gaining an understanding of these important structures is essential for accurate diagnosis, management, and prediction of the spread of infection in the hand. Typically, the proximal extent of the sheath in the thumb and little finger is more proximal than the flexor tendon sheaths in the other three fingers. Additio...

Renzo Mantero passed away, leaving us without an immense figure of surgeon, who starting from general surgery and orthopaedic sciences became an expert in hand surgery. In the ‘60s he founded this discipline in Italy after a long training in Paris. Tireless worker and attentive observer Renzo Mantero created novel surgical technologies and founded in Savona a Surgical Unit Bone Disease in Art