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How To Tie Up A Hemostat During A Vessel Ligation
Author : Marshall Black
Submitted : 2011-12-14 20:48:06 Word Count : 870 Popularity: 6
Tags: surgical instruments, forceps, medical
1. Hold the hemostat for encirclement by the ligature, do this by putting your fingertips through the finger rings. This will provide you better roatation and will elimate twisting of tissue & gives better rotating movement for the tie. These handles should be anywhere else far away from the wound to avoid impeding the encircling handle of the knot tier.
2. In order to keep away the tier. You should slide the surrounding ligature from the clamp to the tissue, and elevate the tip toward the tier as soon as the ligature has surrounded the forceps clamps. Having the elevated tip gives you 2 ways of the knot tier with 2 alternatives: You can trap the ligature beneath the clamp prior tying.
3. If the knot tier ties off of the tip, continue grabbing the hemostat with the tip elevated. The individual who is tiying the knot, can now place the 1/2 hitch there making beneath the tip & tighten it with a single maneuver. When you tie off the tip it has 1 less step than the ligature is trapped and works best in superficial layers where both hands of the knot tier have a way to the wound.
4. A differnet method for additional security in deep wounds or with critical ties, the tier can place the ligature around the tip of the hemostat before tying. The individual holding the clamp traps the ligature beneath the tip by gently pressing the clamp deeper into the wound & rotating the tip away from the tier. By doing this tatic, you can postion the clamp to let the knot be tied on the side of the jaws. If you fail to push away the tip from the knot tier will cause the ligature to slip from beneath the tip, this then forces the tier to tie of the tip.
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A editorial is by Mat J.
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