Introduction Backslab is a fundamental tool in orthopedic care, providing effective immobilization for fractures and painful injuries. Unlike full circumferential casts, backslabs offer semi-rigid support while allowing room for swelling, making them safer in acute injury management. This guide explores the different types of backslabs, their clinical indications, and detailed application techniques to ensure optimal patient […]
Introduction to Laparoscopic Techniques Laparoscopic surgery, also known as minimal access surgery, has significantly transformed modern surgical practices. Derived from the Greek words “laparo” (abdomen) and “scopy” (to examine), laparoscopy enables surgeons to examine and operate on the abdominal cavity with minimal incisions. Thanks to advances in optical technology, surgical instruments, and techniques over the
Laparoscopic Techniques: Complications, and Best Practices Read Post »
Introduction A nerve injury can significantly impact motor, sensory, and autonomic functions, leading to pain, weakness, or paralysis. Understanding the anatomy of peripheral nerves and the Seddon classification (neurapraxia, axonotmesis, neurotmesis) helps in diagnosing and managing these injuries effectively. Whether caused by trauma, pressure, or laceration, nerve damage varies in severity—some cases heal naturally, while others require surgical intervention. Anatomy of
Introduction: Haematoma Block Technique Understanding In emergency and orthopaedic environments, a haematoma block is a commonly utilised treatment to alleviate discomfort during fracture manipulation. Targeting the periosteum, it entails injecting a local anaesthetic straight into the fracture haematoma, therefore greatly lowering pain. Treating dorsally inclined distal radius fractures, sometimes referred to as Colles’s fractures, this
Introduction Surgical drains play a crucial role in postoperative care, helping to evacuate fluids, prevent seroma formation, and monitor complications. However, prolonged drain retention can increase infection risks and tissue irritation. This article outlines evidence-based principles for drain removal, covering timing, techniques, and special considerations across various surgical procedures. When Should a Drain Be Removed? A drain
Drain Removal in Surgical Practice: Timing, Principles and Protocols Read Post »
Introduction Anastomosis is a fundamental surgical technique used to reconnect tubular structures like the bowel or blood vessels after resection or bypass procedures. Derived from the Greek words ana (without) and stoma (mouth), it reflects the joining of two hollow structures. Over time, surgical methods have evolved, from basic exteriorization to advanced stapling techniques. This article explores the key
The Principles of Anastomoses: Techniques and Best Practices Read Post »
Introduction Severe limb trauma, often called a “mangled limb,” presents a critical dilemma: should surgeons attempt limb salvage or opt for early amputation? While saving the limb is ideal, certain situations demand immediate amputation to prioritize survival and long-term function. This article explores the clear indications for amputation, factors influencing the decision, and why scoring systems like the Mangled
The Mangled Limb: When Is Early Amputation Necessary? Read Post »
What Are Crush Injuries? Crush injuries occur when excessive force or pressure damages soft tissues, muscles, and bones. These injuries can result from traumatic events like building collapses or vehicle accidents, but they may also develop after prolonged immobility, such as from a drug overdose. Even closed injuries can lead to severe complications, making prompt
Crush Injuries: Causes, Symptoms, and Emergency Treatment Read Post »
Introduction to Leg Fasciotomy A leg fasciotomy is an emergency surgical procedure performed to relieve dangerously high pressure in muscle compartments. When compartment syndrome develops, immediate fasciotomy can mean the difference between saving a limb and permanent disability. This guide details the step-by-step surgical technique, post-operative care, and consequences of delayed treatment. Surgical Technique for Four-Compartment Leg Fasciotomy Preoperative Preparation Medial Incision:
Understanding Compartment Syndrome: A Surgical Emergency Compartment syndrome is a potentially limb-threatening condition that occurs when pressure builds up within a muscle compartment enclosed by fascia. This increased pressure compromises blood flow, leading to tissue ischemia and, if untreated, muscle and nerve necrosis. Recognizing and treating compartment syndrome promptly is crucial to prevent permanent disability. Other Ortho Topics: Orthopedics Surgery Key
Compartment Syndrome: Emergency Management, and Surgical Treatment Read Post »
