{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T14:15:56Z","timestamp":1769091356201,"version":"3.49.0"},"reference-count":15,"publisher":"Maad Rayan Publishing Company","issue":"3","content-domain":{"domain":["journals.sbmu.ac.ir"],"crossmark-restriction":false},"short-container-title":["J Lasers Med Sci"],"abstract":"<jats:p>A digital tourniquet with\/without epinephrine is commonly used in local anesthetics when operating on digits. However, such a complication as digital ischemia could occur following tourniquet application. We reported an elderly patient with atherosclerotic risk factors and she subsequently underwent a digital tourniquet, partial nail plate removal, and a carbon dioxide laser treatment for subungual wart with digital gangrene development. The successful treatment consisted of wound-dressing, medication, and adjuvant low-level light therapy (LLLT) to enhance the wound healing process, thereby resulting in almost complete recovery of skin color and function of the digit in 3 months. In conclusion, the digital tourniquet should be cautiously applied, especially in elderly patients with atherothrombosis, under minimal pressure and appropriate length of time. Moreover, LLLT could be an effective adjuvant treatment to prevent the vascular complications of the digit.<\/jats:p>","DOI":"10.15171\/jlms.2019.41","type":"journal-article","created":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T01:52:51Z","timestamp":1567389171000},"page":"254-256","update-policy":"https:\/\/doi.org\/10.15171\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Successful Treatment of Digital Ischemia Following a Carbon Dioxide Laser and Tourniquet for a Digital Procedure With Adjuvant Low-Level Laser Therapy"],"prefix":"10.34172","volume":"10","author":[{"given":"Suparuj","family":"Lueangarun","sequence":"first","affiliation":[{"name":"Division of Dermatology, Chulabhorn International College of Medicine, Thammasat University, Amphur Klongluang, Pathumthani, Thailand 12120"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Therdpong","family":"Tempark","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University,1873 Rama 4 Rd., Pathumwan, Bangkok, Thailand 10330"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"20123","published-online":{"date-parts":[[2019,7,6]]},"reference":[{"key":"R1","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/S0020-1383(01)00095-X","article-title":"The unforgettable finger tourniquet","volume":"33","author":"Tucker S","year":"2002","journal-title":"Injury"},{"key":"R2","first-page":"41","article-title":"Low-level laser (light) therapy (LLLT) in skin: stimulating, healing, restoring","volume":"32","author":"Avci P","year":"2013","journal-title":"Semin Cutan Med Surg"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12399"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1111\/dsu.12115"},{"key":"R5","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1046\/j.1365-2044.2001.01982.x","article-title":"The arterial tourniquet: pathophysiological consequences and anaesthetic implications","volume":"56","author":"Kam PC","year":"2001","journal-title":"Anaesthesia"},{"key":"R6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/17453679109153924","article-title":"Tourniquet-induced neuromuscular injury A recent review of rabbit and clinical experiments","volume":"245","author":"Pedowitz RA","year":"1991","journal-title":"Acta Orthop Scand Suppl"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1016\/S1011-1344(98)00219-X"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1089\/pho.2006.2011"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.1062"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/j.sder.2008.08.003"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1080\/14764170500370059"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.5021\/ad.2013.25.2.163"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1089\/pho.2008.2398"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000680"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1080\/14764170902777349"}],"container-title":["Journal of Lasers in Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sbmu.ac.ir\/jlms\/article\/download\/22474\/254-256","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sbmu.ac.ir\/jlms\/article\/download\/22474\/254-256","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T15:57:54Z","timestamp":1581695874000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sbmu.ac.ir\/jlms\/article\/view\/22474"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,6]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,7]]}},"URL":"https:\/\/doi.org\/10.15171\/jlms.2019.41","relation":{},"ISSN":["2008-9783","2228-6721"],"issn-type":[{"value":"2008-9783","type":"print"},{"value":"2228-6721","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,6]]},"assertion":[{"value":"Laser Application in Medical Sciences Research Center","name":"journal_owner","label":"Journal Owner"},{"value":"Laser Application in Medical Sciences Research Center","name":"journal_publisher","label":"Journal Publisher"}]}}