The tenaculum has been commonly used in gynecology for over a century. The predecessor of cervical tenaculum was a forceps bullet extractor – a common surgeon’s tool used to extract bullets on the battlefields. During the Civil War in the United States, this tool was used to remove bullets from the patient’s body or to pull out arteries to tie them off. Inspired by the shape of the bullet extractor, Samuel Jean Pozzi, a pioneer of modern gynecology, developed, at the end of 19th century, a gynecological tool called the Pozzi forceps, also known as the tenaculum. Since then, its shape has hardly changed and persists until today
A tenaculum or uterine forceps, categorized as one of the types of forceps, is a fundamental tool in various surgical procedures. Typically made of stainless steel, this instrument comprises a sharp, long, and thin hook connected to a handle. It features a ring-handled design with ergonomic considerations, allowing users to work comfortably and safely. The tenaculum comes in various types, including simple, double-pronged, and multi-pronged, with sizes of 24 centimeters and 18 centimeters available.
The primary use of the tenaculum lies in surgical operations, specifically in urological and gynecological procedures. It is instrumental in grasping and holding different body parts. This tool is particularly prevalent in the field of urology and gynecology, but it also finds applications in other surgical areas.
- Grasping and Holding Blood Vessels:
- In various surgical procedures, the tenaculum is used to grasp and hold blood vessels, providing access for medical interventions.
- Examination and IUD Placement in Women:
- In gynecological surgeries, the tenaculum facilitates the precise placement of intrauterine devices (IUDs) by preventing unintended movement of the cervical opening.
- Preventing Cervical Movement during IUD Placement:
- The sharp and long hook of the tenaculum prevents cervical movement when placing IUDs inside the uterus.
In general, the tenaculum is a crucial tool for executing precise and controlled surgeries on internal body tissues. Its ergonomic design and flexibility make it suitable for working in deeper regions.
Furthermore, the tenaculum, often made of stainless steel, can be sterilized and disinfected for use in medical and surgical environments. This feature enhances its suitability for maintaining a sterile and infection-free surgical setting.
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