In many cases, tissue forceps and clamps can be used interchangeably in certain cases clamps and tissue forceps can be interchangeably. A bleeding vessel may be either grabed by either forceps or a clamp for traction to add exposure. Forceps have an gain over clamps as they can be more quickly and easily opened and closed, & the tension on tissue can be more precisely gauged than with clamps. Clamps, however, are easier to handle because of a stronger grip, this also elimatantes fatique.
Tissue forceps work as extensions of the thumb and opposing fingers. Hold forceps between thumb and forefingers, with the shanks resting against the metacarpal-phalangeal joint of the index finger or in a pencil position.
When switching back and forth between using tissue forceps, tie first then sew, while you are tying be sure to palm the tissue forceps. In the palmed position grasp the forceps with the sublimis muscles, as opposed to profundus. With your palm down try the "hold" position to the "use: position with your palm down, letting gravity to move the forceps away from the palm so the index finger & thumb fingers can simply re-grasp the forceps in correct position.
Approach the wound with the forceps from the side opposite of the surgical instrument in the other hand. This then allows more free movement of use. Some movements that need wrist flexing should begin in the extension and vice versa, where some maneuvers that want supination should be started in pronation, & the other way around.
The forceps are used to hold, retract, stabilize, pack sponges, extract and pass ligatures. For maximum stability and exposure while suturing, relocate the tissue forceps from superficial to deep layers on the furtherest side of the wound, then from deep to superficial layers on the near side.
Forceps can be used to secure tissue on the needle during extraction or to grab the needle for extraction. Grab the needles perpendicular to the shaft for a more precise extraction, try rotating the axis of the forceps.
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