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November 1968

Hemostat With Modified Tip for Ligation of Bleeding Vessel on Flat Surface

Author Affiliations

New Orleans
From the Department of Surgery, Tulane University Medical School, New Orleans.

Arch Surg. 1968;97(5):852. doi:10.1001/archsurg.1968.01340050192032

A BLEEDING point on a flat surface is always difficult to ligate. Clamping the bleeder usually poses no problem, but attempts to secure it with a ligature can be frustrating. At times, after one or two trials of using either a large blunt-nosed clamp or tilting one with a curved tip to facilitate purchase of the ligature to the tissue, the surgeon will resort to a suture ligature. In order to obviate these inconveniences and enable the surgeon to clamp and ligate a bleeding point on any flat surface, this instrument was devised (Fig 1). Any sized hemostat or larger clamp of the Kelly variety may be fashioned into such an effective hemostat by silver-soldering two halves of a stainless steel disk to the tip, one half to each jaw. It is essential that the distal ends of the disk be flush with the tip of the instrument to avoid

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