DUPYTREN (1831; 1832) presumably used alcohol and opium as anesthetics, a common practice in his day. As he did not use a tourniquet, the patient’s hand was raised above heart level, and the surgeon stood behind the patient. Nowadays, we use brachial plexus block, a tourniquet, and the patient’s upper extremity is positioned on a special arm table. The surgeon sits comfortably next to the arm table and uses surgical loupes (McGROUTHER, 1988; WYLOCK, 1997). The arm is kept in about 90-degree abduction. The tourniquet is inflated to 300 mm Hg, in hypertensive patients it is inflated to 100 mm Hg above the systolic blood pressure.