Tufft Surgical Instruments

Dr. Paily’s TVUAC Set. His article on Transvaginal Uterine Artery Clamp to arrest PPH is published in the European journal. A copy of the same is attached.

TVUAC SET IS USED Arresting post-partum hemorrhage using the novel trans-vaginal uterineartery clamp. The TVUAC is a modified, longer iteration (30.5 cm) of the sponge holding forceps made of stainless steel. The distal end of the blades is bent at right angles, two and a half centimeters from the tip, making the effective length of the instrument 28 cm. The fenestrated blades of the forceps have inner serrations to increase the grip. On maximum closure, they retain a gap of 6 mm between the arms

A simple device named ‘SR PPH Suction Cannula’ to treat the bleeding problem in women during delivery of babies. Uterus is made to shrink by applying negative pressure inside the uterine cavity with this device. Bleeding stops within 3 minutes after application of negative pressure.

This breakthrough in innovation was tested by Obstetrics and Gynaecology department at SVMC in Tirupati for 6 months. A total of 6,446 deliveries were conducted. Doctors used this technique in 34 women with heavy post-partum bleeding which did not respond for other conventional methods. They reported that bleeding stopped in all 34 women, and there was no need for major surgery in any of these women. As per the WHO estimate 3 lakh maternal deaths were reported globally in the year 2015. In developing countries, Post-Partum Haemorrhage (PPH) remains the leading cause, and 50 per cent of these women die due to atonic PPH (29.6%). Majority of these deaths occur in peripheral centres with sub-optimal facilities. When simpler techniques like uterine massage, uterotonics drugs, and balloon tamponade fail, women need major surgeries to stop bleeding. Many times, mothers die on roads while being transported to higher medical centres for such surgical treatment. Speaking to The Hans India here in connection with his visit to the city on Monday, Samartha Ram said that his innovation bagged the first prize in AP Medical Festival conducted at Vishakhapatnam on June 21, where all 13 districts participated.