For substances that stop bleeding, see hemostatic agent.
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Hemostats, curved and straight tip
A hemostat (also called a hemostatic clamp, arterial forceps, or pean after Jules-Émile Péan) is a surgical tool used in many surgical procedures to control bleeding.[1] For this reason, it is common in the initial phases of surgery for initial incision to be lined with hemostats which close blood vessels awaiting ligation. Hemostats belong to a group of instruments that pivot (similar to scissors, and including needle holders, tissue holders and various clamps) where the structure of the tip determines the function.
The hemostat has handles that can be held in place by their locking mechanism. The locking mechanism is typically a series of interlocking teeth, a few on each handle, that allow the user to adjust the clamping force of the pliers. When locked together, the force between the tips is approximately 40 N (9 lbf).
Contents
1History
2List of hemostats
3See also
4References
5Further reading
History
The earliest known drawing of a pivoting surgical instrument dates back to 1500 BC on a tomb at Thebes, Egypt. Later Roman bronze and steel pivot-controlled instruments were found in Pompeii. In the ninth century AD Albucasis made illustrations of pivoting instruments for tooth extraction.[2]
The concept of clamping a bleeding vessel with an instrument before tying it off is generally attributed to Galen (second century AD). This method of hemostasis was largely forgotten until it was rediscovered by the French barber-surgeon Ambroise Paré in the 16th century. He made the predecessor to the modern hemostat and called it the Bec de Corbin (crow's beak) (see image below). With it he could clamp a bleeding vessel before securing it with a ligature.
Bec de Corbin
The modern hemostat is credited to several persons, the foremost of which is Jules-Émile Péan. Later surgeons (i.e. William Halsted) made minor alterations to the design.
List of hemostats
Rankin forceps[3]
Kelly forceps
Satinsky clamps
Kocher forceps
Crile forceps
Halsted Mosquito forceps
Mixter "right angle" forceps[4]
Spencer Wells artery forceps[5]
See also
Forceps
References
^N Phillips; P Sedlak (2010). Surgical Instrumentation. Clifton Park, New York: Cengage.
^Becker, Marshall Joseph; Turfa, Jean MacIntosh (2017). The Etruscans and the History of Dentistry: The Golden Smile Through the Ages. Taylor & Francis. p. 146.
^"Rankin, Fred Wharton". Medical Eponyms. Farlex, Inc. 2012. Retrieved 13 October 2016.
^"Mixter Forceps". Medical Eponyms. Farlex, Inc. 2012. Retrieved 13 October 2016.
^"Spencer Wells-type artery forceps". Brought to Life: Exploring the History of Medicine. The Science Museum. Retrieved 13 October 2016.
Further reading
John Kirkup, MD, FRCS, The Evolution of Surgical Instruments - historyofscience.com
v
t
e
Surgical instruments
Dissecting
Scalpels
Laser scalpel
RF knife
Lancets
Liston knife
Catlin
Von Graefe knife
Surgical scissors:
Bandage scissors
Iris scissors
Mayo scissors
Metzenbaum scissors
Tenotomy scissors
Other:
Rongeur
Curette
Osteotome
Drill bits
Rasps
Trocars
Drills
Cranial drills
Dental drills
Dermatomes
Grasping (forceps)
bulldog forceps
Hemostat
Obstetric
Vulsellum
Tenaculum
Debakey forceps
Clamping
Foerster clamp
Hemostat
Pennington clamp
Aortic cross-clamp
Gomco clamp
Allis clamp
Retracting/viewing
Retractors: Senn retractor
Rib spreader
Accessory/other
Examination/prep:
Dilators
Specula
Fiber optic endoscopes
Head mirror
Suction:
Yankauer suction tip
Irrigation and injection needles
Measurement devices:
rulers and calipers
Drain:
Jackson-Pratt drain
Penrose drain
Other:
Surgical staplers
Periodontal probe
Surgical suture
UpToDate Contents
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…foreskin is put on traction with a hemostatic clamp, and the preputial-glandular adherences (if present) are liberated using the tip of another hemostatic clamp. The clamp is then applied across the foreskin …
…lacerations are small and require no intervention, provided they remain hemostatic. Treatment options for bleeding lacerations include clamp compression for several minutes, application of ferric subsulfate…
…need for hemostatic agents, and thus, any analysis of the risk of infection due to hemostatic agent is confounded. The risk of infection may be minimized by removing excess topical hemostatic agents from …
…be mediated, in part, by the favorable influence of aerobic exercise on plasma lipoproteins and hemostatic factors. This topic will review the influence of aerobic training on lipoproteins as a function …
… never be used in conjunction with metal clamps because devastating penile loss can occur. Techniques to control bleeding include applying pressure, use of hemostatic agents, and suture. Basic surgical …
English Journal
Comparison of hypocalcemia rates between LigaSure and clamp-and-tie hemostatic technique in total thyroidectomies.
Chiang FY, Lee KD, Tae K, Tufano RP, Wu CW, Lu IC, Chang PY, Lin YC, Huang TY.
Head & neck. 2019 Oct;41(10)3677-3683.
Postoperative hypocalcemia (PH) is a serious complication after total thyroidectomy. This study aimed to compare PH rates between LigaSure Small Jaw (LSJ) and clamp-and-tie hemostatic technique in patients undergoing total thyroidectomy. Four hundred twenty patients were divided into two groups: gro
Several surgical strategies have been introduced for spontaneous kidney rupture. Herein, we report on a case in which temporary artery clamping with hemostatic materials was performed. A 52-year-old man underwent renal transplant from a living donor (his 20-year-old son). Spontaneous allograft ruptu
Dry surgical field minor salivary gland harvest using a chalazion clamp for sicca syndrome.
Wijaya C, Ramli RR, Khoo SG.
The Journal of laryngology and otology. 2019 May;133(5)419-423.
Sjögren's syndrome is a rheumatological condition. Diagnosing Sjögren's syndrome can be challenging given the overlapping nature of clinical presentations. Currently, minor salivary gland biopsy is considered the definitive test for diagnosing Sjögren's syndrome. Various surgical techniques have
OPTIMAL METHOD OF FIBRIN SEALANT APPLICATION FOR BLEEDING FROM ARTERIAL SUTURE LINES
三島 晃,野村 則和,浅野 實樹,新屋 希子,内田 隆徳
Nagoya medical journal 46(3), 123-130, 2003-06-28
… and "clamp" group (n=5), spray application during aortic clamping. … Results The volume of blood loss and the time needed to achieve hemostasis in the clamp group were significantly lower than in both the control and unclamp groups (P<0.05). … The clamp group exhibited the best histopathological sealing efficacy compared with the other two groups. … Conclusions Fibrin sealant applied during aortic clamping demonstrated good hemostatic efficacy. …
Looking for online definition of Hemostatic clamp in the Medical Dictionary? Hemostatic clamp explanation free. What is Hemostatic clamp? Meaning of Hemostatic clamp medical term. What does Hemostatic clamp mean?
Dr. Michael Ross demonstrates how to perform a ligation around a hemostatic clamp. ... This feature is not available right now. Please try again later.
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