Description
Uterus holding forceps (Dartigues)
Dartigues Uterus Holding Forceps (also known as Dartigues Uterine Seizing or Elevating Forceps) are specialized, high-grade stainless steel gynecological instruments designed for the secure grasping, manipulation, and elevation of the uterus, particularly the cervix or uterine fundus, during vaginal and abdominal surgeries.
They are characterized by their “jalebi” (curved) type structure, which matches the uterine anatomy for optimal access.
Detailed Mechanism of Action
- Atraumatic Grasping: The forceps feature broad, often smooth, or gently serrated, curved jaws that provide a secure, non-slip hold on uterine tissue, reducing the risk of tissue damage or slippage during procedures.
- Elevation and Traction: The long jaws allow for deep penetration into the pelvic cavity, allowing surgeons to lift or rotate the uterus to optimize visualization of the surgical site, such as the vaginal walls or pelvic structures.
- Controlled Clamping: A ratchet mechanism on the handle ensures that the clamp stays locked at a specific pressure, offering a “hands-free”, stable hold that minimizes user fatigue during long, delicate procedures.
- Ergonomic Handling: The instrument typically includes ring handles designed for a firm, comfortable grip, allowing for precise manipulation.
Common Uses in Surgery
Dartigues forceps are primarily utilized in:
- Hysterectomy: To hold and elevate the uterus.
- Myomectomy: To manipulate the uterus while removing fibroids.
- Polypectomy: For the removal of endometrial polyps.
- D&C (Dilation and Curettage): To stabilize the uterus for access.
- Vaginal Wall Elevation: To expose the surgical field, especially during vaginal, laparoscopic, or abdominal procedures.
Key Design Features
- Material: Premium-grade, corrosion-resistant, and autoclavable stainless steel.
- Length: Commonly 255mm to 280mm (approx. 10–11 inches), allowing for deep access.
- Tips: Blunt, broad, and slightly curved to prevent piercing injuries to delicate tissue.
- Finish: Often a satin or matte finish to reduce glare under surgical lights.
Advantages
- Provides firm control while being minimally traumatic to tissues.
- Securely holds the uterus in a desired position, enhancing visibility.
- Reusable and durable through repeated sterilization cycles.
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