Surgical clamps have a great range of uses, this also includes the clamp of vessels; retracting; dissecting; suture tagging; ligature passing; tissue holding; and occluding of tubular things, kinda of like ducts or bowel, in order to get out of leakage of their contents. Some clamping ways do need warrant special attention.
You can clamp vessels with either one or two clamping techniques: tip or jaw. The main mission of this tip method is to clamp the open vessel while at the same time keeping minimal pressure on the surronding tissue. Note that the tip is pointed toward the vessel. The vessel can then be lighted or cauterized, leaving a small amount of devitalized tissue within the wound.
The objective of the jaw method is to clamp the open vessel in the greater curvature of the jaw, with the tip pointing away from the vessel. Jaw clamping leaves the tip exposed beyond the tissue to trap the ligature more simply as it is passed around the blood vessel, thus facilitating placement of the ligature during tying.
When you cut surface, when you clamp with the jaws, your using more tissue as opposed to clamping with the tip, this then sacrifices viable tissue for easier knot tying. using the tip techinique, which minimizes devitalized tissue in the wound, which means it needs more coordination between the clamp operator and the ligator to trap the ligature. This is a minor inconvenience well worth the benefit of minimizing tissue devitalization.
Clamping across uncut tissue planes for hemostasis prior transaction includes the same amount of tissue whether the clamp tips are pointed toward or away from the proposed cut. Not tying is a lot more easy when you point away from the cut & point towards the blood vessel makes knot tying easier with no disadvantage. The better technique is the jaw technique because it transects the vascular pedicles, mesentery, omentum or any other types of structures in between clamps.
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A article is by Pat Z.