During needle extraction tissue forceps can be used in 2 seperate ways. You can use forceps to grasp the needle before to you letting it go by the needle holder, or during needle release the forceps can hold the tissue on the needle, in order to shun distraction of the needle by the tissue. Forceps with teeth grab the needle much more effectively; For extraction you will want to use "smooth" forceps to grab the needle better.
If your using the tissue forceps for needle extraction, apply the same principle of grasping the needle perpendicular to the shaft as when using a needle holder. The perpendicular to the shaft as when using a needle holder. The perpendicular grasp is more secure than grabing with an oblique or parallel position. The perpendicular grasp also gives a mere rotation motion of the surgical instruments to extract the needle, without changing the axis of the forceps.
In many cases, tissue forceps and clamps can be used interchangeably in certain cases clamps and tissue forceps can be interchangeably. A bleeding vessel may be either grabed by either clamp or forceps for traction to gain exposure. Forceps are better than clamps because they can be more easily closed and opened, you can also do a better job at being more precise gauged at the tension on the tissue. Clamps, on the other hand, are easier to handle because of a stronger grip, this also elimatantes fatique.
Tissue forceps are used for the function of the opposing fingers and thumb. Hold forceps between thumb and forefingers, with the shanks resting alongside the metacarpal-phalangeal joint of the index finger or in a pencil position.
When going back & forth between using tissue forceps, sew after you tie, while you are tying try to palm the tissue forceps. Using your sublimis muscles try to use a palm position, as opposed to profundus. With your palm down try the "hold" position to the "use: position with your palm down, this gives gravity to drift away the forceps from the palm so the index finger and thumb fingers can simply re-grasp the forceps in correct position.
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