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March 23, 1929, Vol 92, No. 12 >

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ARTICLE | March 23, 1929

FORCEPS FOR HEMOSTASIS IN CRANIAL OPERATIONS

Anatole Kolodny, Ph.D., M.D.
JAMA. 1929;92(12):981-982. doi:10.1001/jama.1929.92700380002012b.
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ABSTRACT

Bleeding of the scalp in cranial or intracranial operations is best controlled by the application of forceps to the aponeurosis (galea) about 1 cm. apart; when turned outward, the forceps compress the galea against the margins of the skin and thus act hemostatically. When straight forceps, applied to the galea, are turned outward, they tend to tear the galea at the point of application and to traumatize the skin edges of the scalp when left in place long, as is the case in neurosurgical operations. Both these disadvantages may be avoided by using forceps curved in the manner illustrated here.

These forceps stretch the galea in a gentle manner semicircularly over the margin of the skin. They are especially advantageous in incisions in which the scalp is left in situ during the operation and not dissected away or lifted up from the skull. These forceps, designed by me early in 1927, have

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