Friday, April 25, 2014

SURGICAL INSTUMENTS 10 Gastric Intestinal Clamps






Gastric and Intestinal Clamps
Intestinal clamps are large self-retaining forceps with a primary function to occlude the bowel lumen.
         These clamps are indeed tissue forceps to allow firm holding of stomach and intestines.
         The non-crushing intestinal clamps do not cause permanent injury to the wall of the held viscus.
•       They occlude the viscus lumen and prevent spillage of infected bowel contents.
•       Temporarily occlude circulation in the bowel wall and thus keep the operative field free of blood.
•       Facilitate anastomosis by allowing the bowel ends to be approximated and manipulated.
         The varieties of clamps in use are:
         •       Doyen’s (Fig. 8.64)
         •       Kochers (Figs 8.65A and B)
         •       Lane (Fig. 8.66)
         •       Lane twin anastomotic clamp (Fig. 8.67)
         •       Lloyd Davies Rectal occlusion forceps (Fig. 8.68)
         •       Payr intestinal clamp (Figs 8.69A and B)
         •       Lang Stevenson (Fig. 8.70)
         •       Parker Kerr (Fig. 8.71)
         •       Zachary Cope (Fig. 8.72) (see pages 156-157) 

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