Clinical Application:
STEP 1: PREPARATION OF TISSUES FOR ARTERIOTOMY PROCEDURE
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An optional holding suture at mid-incision.
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Sutures at heel and toe.
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Clinical Application:
STEP 1: PREPARATION OF TISSUES FOR ANASTOMOSIS PROCEDURE
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END-TO-END
Sutures at 3 and 9 o'clock.
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END-TO-SIDE
Sutures at heel and toe. Stay sutures at 3 and 9 o'clock.
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SIDE-TO-SIDE
Sutures at 12 and 6 o'clock. Stay sutures at 3 and 9 o'clock.
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VCS* CLIP APPLICATION
STEP 2
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Symmetrically evert all tissue layers for
nonpenetrating clip placement, using the
VCS* approximating forceps.
STEP 3
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Apply VCS* clips as closely together as
possible for hemostasis.
STEP 4
Check tightness of clip placement.Remove any
inappropriately placed clips with the VCS*
clip remover.