Hand & Wrist

Posts on hand and wrist surgery, including the use of WALANT (wide awake local anaesthesia no tourniquet) for trigger finger and soft tissue tumours etc, and point-of-care ultrasound (POCUS) in clinical decision making. Written by Dr Ng Zhi Yang, UK & Singapore accredited Plastic Surgeon.

Same-Day Hand Surgery - No Hospital, No General Anaesthesia, No Tourniquet, Home Today

Most lumps and lesions on the upper limb are straightforward to treat. What is not always straightforward is the choice of anaesthetic technique. That choice has real world consequences for what a surgeon can assess, confirm, and correct before the wound is closed. In my practice, as much as possible, my preference in hand surgery procedures is to use wide awake local anaesthesia no tourniquet (WALANT). Case 1 - A Dorsal Finger Tumour A patient presented with a firm, well-def

Dr Ng Zhi Yang

Jun 184 min read

Ultrasound in Plastic Surgery - How I Use It in My Practice

Ultrasound is not new to medicine. What is less common is its use as a routine point-of-care tool in plastic surgery, not just to confirm a diagnosis, but to guide clinical decisions in real time and spare patients unnecessary procedures and associated risks. The cases below illustrate how. Case 1 - Ultrasound-Guided Filler Injection A patient underwent hyaluronic acid filler injection to the chin for augmentation, specifically targeting the labiomental crease, the fold betwe

Dr Ng Zhi Yang

Jun 47 min read

Hand & Wrist

Same-Day Hand Surgery - No Hospital, No General Anaesthesia, No Tourniquet, Home Today

Ultrasound in Plastic Surgery - How I Use It in My Practice

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