Clinical Application:


STEP 1: PREPARATION OF TISSUES FOR ARTERIOTOMY PROCEDURE



An optional holding suture at mid-incision.


Sutures at heel and toe.

































Clinical Application:


STEP 1: PREPARATION OF TISSUES FOR ANASTOMOSIS PROCEDURE




END-TO-END
Sutures at 3 and 9 o'clock.


END-TO-SIDE
Sutures at heel and toe. Stay sutures at 3 and 9 o'clock.


SIDE-TO-SIDE
Sutures at 12 and 6 o'clock. Stay sutures at 3 and 9 o'clock.













































VCS* CLIP APPLICATION




STEP 2

Symmetrically evert all tissue layers for
nonpenetrating clip placement, using the
VCS* approximating forceps.

STEP 3

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.