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Manipulation Of The Hemostat During Vessel Ligation
Author : Marshall Black
Submitted : 2012-02-03 Word Count : 720 Popularity: Not Rated
Tags: surgical instruments, forceps, medical
1. Hold the hemostat for encirclement by the ligature, without putting your fingers in the finger rings. This will allow axial rotation to get rid of twisting of tissue & gives more accurate rotating movement for the tie. These handles should be somewhere else far away from the wound this is to give better encircling movement to the person who is tying the knot.
2. Slide the surrounding ligature from the clamp to the tissue by depressing the handles away from the tier, & after the ligature has encircled the forceps clamps, elevate the tip toward the tier. Having the elevated tip gives you two ways of the knot tier with 2 alternatives: You can trap the ligature beneath the clamp before tying.
3. When the know tier gets rid of the tip, continue holding the hemostat with the tip elevated. The knot tier can then place the half hitch he is forming underneath the tip and tighten it up with a single way of doing it. When you tie off the tip it has 1 less step than the ligature is trapped and performs the best in layers where you have two of your hands of the knot tier have better access to the wound.
4. An alternative method for added security with critical ties or deep wounds, the tier can place the ligature around the tip of the hemostat before tying. If you're holding the clamp, then it's your duty to trap the ligature under-neath the tip by rotating the tip far away from the tier, after pressing the clamp deeper inside the wound. This plan will position the clamp to give the knot to be tied on the side of the jaws. Failure to push the clamp tip away from the knot tier it will cause a slipping of the ligature under-neath the tip, this then forces the tier to tie of the tip.
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