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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia Del Piede 2008 August;32(2):55-60
Management of foot surgery procedures: prolonged ischemia with pneumatic tourniquet compression
Napoli V., Napoli E.
Centro di Chirurgia del Piede Clinica “Fornaca di Sessant”- Torino
Pneumatic tourniquet compression for maintaining restricted blood flow to the surgical field during foot operations on delicate structures is safe for up to 120 minutes. Unexpected complications not manageable with other techniques may require prolonged ischemia after tissue reperfusion with tourniquet deflation and re-inflation. Due to potential pressure-related injury, this method cannot be used routinely but should be reserved for managing unanticipated adverse events. Tissue reperfusion and prolonged ischemia induce the formation and release of cytotoxic and histolytic cytokines, leading to damage of tissue structure and impaired function. This study reviews the literature on pneumatic tourniquet compression; it does not derive from personal experience as we do not employ this technique.