Desjardin's Choledocholithotomy forceps

This is a long and slender instrument. There are finger bows but no catch. The shafts are curved, in some it is a gentle curve and in other varieties there are different degrees of curvature. The blades are small and fenestrated centrally. There are no serrations in the blade.

Uses:

• • This is used during choledocholithotomy. The common bile duct is identified by aspirating bile from the bile duct. Two stay sutures are applied in the bile duct by a 3-0 atraumatic catgut suture and a choledochotomy is made in between the stay sutures. The Desjardin's forceps is then introduced into the bile duct and the stones are removed by holding the stones in the fenestrated blade.

  • This is used during laparoscopic cholecystectomy. While extracting the gall bladder through the epigastric or umbilical port, as the gall bladder is partially delivered through the port wound, it usually gets stuck if there are large stones in the gall bladder or there are multiple small stones in the gall bladder. The gall bladder is opened and the stone removed from the gall bladder by the desjardin's choledocholithotomy forceps.

  • It may also be used during removal of kidney, ureteric or bladder stone.