METAL CLIPS
Metal clips include Mitchell’s, Kifa metal clips and Cushing’s. First two are used for skin closure.
Cushings are used for vessal closure in brain surgery
Advantages of metal clips
· Apposition is better.
· Good cosmetic result is achieved.
· Less chances of infection as suture hole is not made.
Disadvantages
· It is more expensive.
· Metal clips require special instruments (applicator and extractor).
When should the clips be removed?
Clips should be removed usually at 6days, i.e. earlier than sutures ( usually removed after 8-10 days)
Staplers are being used in surgery for
Anastomosis(Colectomy-Gastrectomy)
Vessal stapling before cutting(splrnectomy adrenalectomy)
Any questions be sent to drmmkapur@gmail.com
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