Surgical clamps have a vast difference of uses, including hemostasis by the clamping of blood vessels; retracting; dissecting; suture tagging; ligature passing; tissue holding; & occluding of tubular things, such as bowel or ducts, to put off leaking of their contents. Some of these clamping techniques need individual attention.

Bleeding vessels can be fastened with either of two clamping techniques: tip or jaw. The main goal of this tip method is to clamp the open blood vessel while at the same time keeping minimal pressure on the surronding tissue. Note that the tip is pointed toward the vessel. The vessel can then be lighted or cauterized, leaving a minimum of devitalized tissue within the wound.

The primary goal of the jaw technique is to clamp down on the open blood vessel in the greater curving of the jaw, with the tip pointing away from the blood vessel. Jaw clamping leaves the tip exposed beyond the tissue to trap the ligature more simply as its passed all around the vessel, thus facilitating placement of the ligature during tying.

When you cut surface, when you clamp with the jaws, your using more tissue as opposite to clamping with the tip, this then sacrifices viable tissue for easier knot tying. The tip method, which causes minimal damage to devitalized tissue inside the wound, which means it needs more coordination between the clamp operator & the ligator to trap the ligature. This is a minor inconvenience well worth the advantage of minimizing tissue devitalization.

Before the transaction you should clamp across the uncut tissue using hemostasis before transaction this includes the same amount of tissue rather the clamp tips are pointed away or towards the place where your to cut. Not tying is a lot more easy when you point away from the cut & point towards the blood vessel makes knot tying simply with no disadvantage. The better approach is the jaw method because it transects the vascular pedicles, mesentery, omentum or any other types of structures in between clamps.

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This editorial is by Collen V.