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About two years ago I devised a tenaculum for work on the uterine appendages when the uterus was to be left in the abdomen, which has given me much satisfaction. The instrument is ten inches long, each point being three-fourths of an inch long, making the total distance of the opening between the points one and one-half inches long. The fundus of the uterus being caught with the instrument produces two small puncture wounds, and on account of the great distance between the two arms of the triangle no trauma whatever is caused by pressure. The instrument is sufficiently long so that the assistant can support the uterus in a fixed position and yet have his hand out of the way.
The instrument is especially valuable in shortening the round ligaments and to suspend the uterus; in fact, in all operations where the uterus was not to be removed. The
FISCHER LC. UTERINE TENACULUM.. JAMA. 1908;LI(20):1695. doi:10.1001/jama.1908.25410200043002