1. Hold the hemostat in the palm of your hand for encirclement, without placing your fingers in the finger rings. This allows axial rotation to get rid of twisting of the tissue and provides better rotation for doing the tie. The handles should be held 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 pushing the handles away from the tier, & after the ligature has surrounded the forceps clamps, elevate the tip toward the tier. Having the elevated tip gives you two ways of the knot tier with two alternatives: tying off of the tip or trapping the ligature underneath the clamp prior 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. Tying off of the tip has 1 less step than when the ligature is trapped and performs the best in layers where you have 2 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 beneath the tip, forcing the tier to tie off of the tip.
Author Resource:-
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A article is by Collen Z.
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