Tying Around a Clamp[edit | edit source]
Step-by-step Procedure to Tying Around a Clamp[edit | edit source]
1
Attach your glove longitudinally in the plastic container using four binder clips
- Use one binder clip to attach the wrist of the glove to the plastic container
- Use an additional binder clip to attach the fourth finger to the opposite end of the plastic container
- Use another binder clip to attach the fifth finger to the side end of the plastic container
- Use the last binder clip to attach the second finger to the opposite end of the plastic container
2
Using a haemostat, clamp the base of the second finger
- Open the jaws of your haemostat with your dominant hand
- From the side of the second finger that is closest to you, advance the jaws of the haemostat such that they are perpendicular to the finger
- Advance the haemostat until the entire width of the finger is enclosed in the jaws
- Clamp closed the haemostat
- Ensure that you have clamped the haemostat such that you hear only 1 click
- There is rarely a time when operating on human tissue that you will need to require more than one click on any surgical instrument
3
Using a pair of forceps and a haemostat, pass the tail of the suture proximal to the clamp
- In the operating theatre, you will need to guide your assistant to help you pass the suture
4
Instrument tie a surgical knot around the finger
- The first knot will be a surgeon's knot
- Ensure the suture is proximal to the clamp
- Then remove the haemostat that is clamped to the finger
- Tighten the surgeon's knot
- Complete your instrument tie with the appropriate number of knots for the suture material
5
Cut the suture with appropriate length tails
- Ensure the tails are not so short that the knot unravels