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Ann R Coll Surg Engl. 2009 April; 91(3): 267–268.
PMCID: PMC2765023
Technical Notes and Tips
Bruce Campbell, Section Editor

Keeping it Neat in Vascular Surgery

For vascular operations where a drain is required postoperatively, a minor modification to standard technique can be used to enhance visibility. Further, small (~1 cm) incisions can be made proximal and distal to the wound and vascular clamps inserted through them. The clamps are then advanced into the operative field. Control of the inflow and outflow of the vessel is thereby obtained, the clamps' movement being limited by the tissues, thus removing the requirement for a towel clip or an assistant to support them. Figure 1 shows the vascular clamp in position controlling the femoral artery. After the operation has been completed, the separate skin incisions can be utilised for placement of drains if required.

Figure 1
Vascular clamp controlling the femoral artery.

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England