wrist implant procedure
So i've mentioned this a couple times here and there but as the wait continue for my magnets to arrive i figured it's time to get this sorted out. I intend to put a magnet in my wrist as well as 2 in my fingers. The fingers are obviously simple, same procedure as always. the wrist however is more complicated. I figured i'd open a thread to discuss the potential procedure. I've been watching carpel tunnel surgeries as it's i the same location that i'd want to implant approximately. My thoughts so far are as follows however im still not sure of placement in the wrist exactly as im not sure where would be the most sensitive and safe:
instead of a nerve block preform simple local anesthesia with 2-3ml of lidocain.
apply tourniquet just above elbow to stop bloodflow.
mark a 5mm incision line above the transverse carpal ligament, between the median and ulnar nerves. the ulnar nerve is above the ligament while the median is under it. so slightly off to the pinky side of the wrist.
using a scalpel make a superficial incision just deep enough to get through the epidermal layers but not far enough to cut into the other tissue and staying well above the carpal ligament.
rotate the scalpel and gently separate the dermal tissue from the lower tissues to create the pocket.
insert the magnet and seal with sutures.
thoughts thus far? things need changed?
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I would not recommend rotating the scalpel. This is a messy process with higher chance of error. I've seen enough videos that cause me to believe making the pocket with the blade is less than optimal. Using the back end of the scalpel to create a pocket, on the other hand, can work. Also, at Dangerous Things, they are working on developing a placement tool to make pocket creation and placement under the skin easier.
Bonus for the wrist- The install really didn't hurt that bad at all even without lidocain. But I also didn't do it to myself.
wrist went very well, despite the complexity of the anatomy in the area,
but the wrist is a whole lot more complex still. Needle implantation goes very smoothly for chips and the four magnets I've done that way, and I'm a huge proponent of the method. As you said, you're less likely to hit something important with a smaller opening.
Honestly, though, I'm glad I had the opportunity to do the scalpel implantations that I did, despite the failures. I learned alot and found the experience to be very interesting and overall enjoyable.