# From Entrapment to Relief: Case Series Analysis of Advanced Ring Removal Techniques in Delayed Ring Entrapment Presentations

## TL;DR

This paper presents advanced techniques for removing deeply embedded rings from fingers, which can cause serious health issues if not addressed.

## Contribution

The study introduces the GEM II ring cutter as an effective tool for advanced ring entrapment cases.

## Key findings

- Conventional ring removal techniques are often ineffective for deeply embedded rings.
- The GEM II ring cutter safely and efficiently removes rings with minimal tissue injury.
- The device is particularly useful in cases of ring tourniquet syndrome.

## Abstract

While rings serve as decorative or symbolic accessories on the hand, they can pose significant health risks when trapped on a finger. Delayed ring removal can lead to complications such as skin ulceration, neurovascular damage, and inflammation. This case series demonstrates that conventional ring removal techniques, such as compression, traction, lubrication, and rotation, are frequently ineffective when rings are deeply embedded within tissues. The GEM II ring cutter, equipped with a diamond cutting disc and a low-speed, high-torque mechanism, provides a safe and efficient solution for these challenging cases. The integrated finger guard minimizes the risk of further tissue injury, making it a valuable tool for ring removal in advanced ring entrapment or ring tourniquet syndrome.