Case of a utility knife accident where the knife slipped and cut the patient deep into the thumb! When performing procedures on the hands and upper extremities, many options are available for anesthesia. Regional anesthetics have a unique application for this kind of procedures, the most frequently used is the digital block, where you block nerve branches by applying anesthetic at both sides of the finger also called Oberst block. Although most surgeons would use traditional suturing, alternatives to sutures are often needed, such as techniques for evaluating and closing wounds in difficult-to-treat areas so as to minimize the risk of any adverse consequences and maximize the chances of a good outcome. What’s the best way to treat in your opinion?