This instrument is used while applying ligatures to bleeding points in the tonsillar fossa following tonsillectomy.
Identification
This instrument is the Negus second artery forceps. Notice how its tip is curved like a hook.
This is another variety of the same instrument – this is the Wilson second artery forceps.
Both its shaft and tip are bent at obtuse angles.
How the instrument is used
When a bleeding spot is observed in the tonsillar fossa following tonsillectomy, it is first caught using the tip of a first artery forceps. The bent tip of the second artery forceps is then applied below the tip of the first artery so that some of the surrounding tissue can be held as well. The ligature is then applied below the second artery.
More information
Ligatures applied in the tonsillar fossa don’t have to be removed, they slough away by salivary action.
Second artery forceps are used along with the first artery forceps and the anterior pillar retractor while ligating bleeding points in the tonsillar fossa.
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