title: Historical development of surgical instruments exemplified by hemostatic forceps.
abstract: We describe the historical development of surgical instruments exemplified by hemostatic forceps, starting with antique and medieval forceps used for the arrest of bleeding to modern atraumatic hemostatic forceps used for vascular reconstruction. Their development proceeded mainly in three steps: (1) development of ligature forceps directly for hemostasis (Celsus, first century AD; Paré, 1582; L. Heister, 1743; (2) development of atraumatic forceps, which facilitate vascular reconstruction or anastomosis creation by temporarily clamping vessels (Höpfner, 1903; Stich, 1907; Jeger, 1913; (3) construction of tangential forceps, which, by partially clamping vessels with partial maintenance of blood flow, allow the reconstruction or anastomosis of large vessels in a side-to-side technique. The first tangential occlusion clamp was developed by Friedrich Trendelenburg (1844-1924) in 1908, when he established the operative treatment for embolism of the pulmonary artery. This clamp was later modified by A. W. Meyer (1927) and V.P. Satinsky (ca. 1950).
authors.affiliation: Department of Surgery, University Hospital Johann Wolfgang Goethe University, Frankfurt am Main, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Sachs
authors.forename: M
authors.initials: M
authors.lastname: Auth
authors.forename: A
authors.initials: A
authors.lastname: Encke
mesh_terms: D006488:Hemostasis, Surgical / Q000295:instrumentation*; D049669:History, 16th Century; D049671:History, 18th Century; D049673:History, 20th Century; D049690:History, Ancient; D006801:Humans; D013525:Surgical Instruments / Q000266:history*