Nothing Called Small Surgery | PSNet

Nothing Called Small Surgery | PSNet

Nothing Called Small Surgery

In this WebM&M case, a 56-year-old female received a digital tourniquet around the base of her left big toe during the ablation and excision of a deformed in-grown toenail. After the procedure, a dressing was applied, and the patient was discharged 4 hours later. During the follow-up visit two-days later, the dressing was removed and revealed that the tourniquet was still in place and constricting the toe. The toe became necrotic and developed gangrene and was amputated. The commentary discusses the safe use of digital tourniquets, the importance of including tourniquets in the surgical count process, and ensuring tourniquets are removed in a timely manner.