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Following digital surgical procedures, the ensuing post-operative course may be complicated by the presence of underlying ischaemic or vasospastic process. In the presence of such conditions, post-operative ischaemic changes may be further exacerbated with the use of local anaesthetics in combination with epinephrine.

Post-traumatic dgital gangrene associated with epinephrine use in primary Raynaud’s phenomenon: Lesson for the future