The control of hemorrhage is one of the most important and yet difficult problems in all extensive craniotomies. The tourniquet, hemostatic stitch and pedicle clamp have been replaced largely by the multiple forceps method now commonly used. The covering of the scalp is generally accomplished by towels clamped or sewed to the cut edges.
During the past two years, my co-workers and I have been using a method which keeps the operative field free of forceps and which at the same time efficiently covers the scalp, controls bleeding and protects the edges of the incision. This is by the use of stockinet and Michel clips. We experimented on various metal clips, but finally settled on the Michel type, for they are already available, are inexpensive, are easily applied and control hemorrhage efficiently.
A few points in the technic might be mentioned. After the field block has been made with procaine
CRAWFORD AS. CRANIOTOMY INCISIONS WITHOUT FORCEPS. Arch Surg. 1928;17(3):472-474. doi:10.1001/archsurg.1928.01140090119007