wound round the fingers, the strands touching each other without overlapping, till the strands reach in the vicinity of the ring. The free end of the thread is now manipulated under or preferably threaded through the ring with a vaselined aneurism needle, so as to come out at the proximal edge of the ring (figure 2). Any space,
Fig. Fig. 2.2.
A METHOD OF REMOVING A TIGHT RING FROM A FINGER By Y. M. BHAVE,
m.b., b.s.
Sir J. J. Hospital, Byculla, Bombay
It is not infrequently that the general practitioner comes across a patient with a ring impacted on one of the fingers. The following is a useful method of removing such a ring with to the tissues the least amount of trauma involved. Anaesthesia.?It is better to block the digital nerves with 2 per cent novocaine or in the case of children just to give a little general ansesthetic, to keep them quiet. As a general rule very
between the most proximal strand of the thread and ring, left uncovered is covered by continuing the winding, the loose proximal end of the thread being pulled so as to leave no loop between the ring and the fingers. Sterile vaseline is now applied to the ring and all the strands of the thread. The thread is now unwound, from the proximal end, a little force being usually necessary to do this (figure 3).
Fig.
Fig. 1.
little pain is felt during the manipulations. The adrenalin content of the local anaesthetic reduces the congestion and makes the proceedings easier. Technique.?First clean the part with rectified spirit. Starting at the tip of the finger (figure 1) a strong thread (twine would suffice) is
3.
The ring will be found to move very slowly forward till it slips off the finger, when the whole thread is unwound. Thick cat-gut can be used but only if a sufficiently long strand is available, to enable the proceedings to be finished with only one winding and unwinding. Mechanism.?This method works both by relief of congestion brought about by direct pressure of the thread, and by the screw-like action when the thread is unwound.
Fig. Fig. 2.2.
A METHOD OF REMOVING A TIGHT RING FROM A FINGER By Y. M. BHAVE,
m.b., b.s.
Sir J. J. Hospital, Byculla, Bombay
It is not infrequently that the general practitioner comes across a patient with a ring impacted on one of the fingers. The following is a useful method of removing such a ring with to the tissues the least amount of trauma involved. Anaesthesia.?It is better to block the digital nerves with 2 per cent novocaine or in the case of children just to give a little general ansesthetic, to keep them quiet. As a general rule very
between the most proximal strand of the thread and ring, left uncovered is covered by continuing the winding, the loose proximal end of the thread being pulled so as to leave no loop between the ring and the fingers. Sterile vaseline is now applied to the ring and all the strands of the thread. The thread is now unwound, from the proximal end, a little force being usually necessary to do this (figure 3).
Fig.
Fig. 1.
little pain is felt during the manipulations. The adrenalin content of the local anaesthetic reduces the congestion and makes the proceedings easier. Technique.?First clean the part with rectified spirit. Starting at the tip of the finger (figure 1) a strong thread (twine would suffice) is
3.
The ring will be found to move very slowly forward till it slips off the finger, when the whole thread is unwound. Thick cat-gut can be used but only if a sufficiently long strand is available, to enable the proceedings to be finished with only one winding and unwinding. Mechanism.?This method works both by relief of congestion brought about by direct pressure of the thread, and by the screw-like action when the thread is unwound.
