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This muscle clamp was adopted primarily for muscle section in thyroidectomy. The requirements of such a clamp are to exert a hemostatic action on the vessels of the muscle and at the same time to hold the muscles and fascia in a firm grasp without crushing the tissues. The disadvantage of the clamps thus far used, in my opinion, has been that their crushing action not infrequently leads to tissue necrosis and favors infection and adherent scars.
The clamp consists of a smooth surface with four sharp protrusions, as shown. The protrusions insert themselves into the fascia and muscles and hold them firm, while just sufficient pressure is made from the smooth surfaces of the clamp to close the thin walled vessels without making undue pressure on the other tissues.
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DeCourcy JL. A NEW MUSCLE CLAMP. JAMA. 1922;79(6):463. doi:10.1001/jama.1922.26420060001013a
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