Desjardins gallstone forceps
A long, slender forceps with curved, fenestrated jaws and a ratcheted handle lock; available in several lengths (22-24 cm) and degrees of curvature to follow the course of the common bile duct.
How it is used
Introduced through a choledochotomy to directly grasp and remove stones from the common bile duct during open bile duct exploration; complements the already-catalogued Fogarty biliary balloon catheter (which sweeps the stone out rather than grasping it) and the choledochoscope (which only visualizes), rather than duplicating them.
Clinical tip
The Desjardins pattern is among the most classic and is still taught for open bile duct exploration, though today most residual stones are managed with postoperative ERCP or choledochoscopy.
Sources
This entry is part of the Instriq catalog, researched and written per specialty from real web research -- never generated or invented without verification -- and reviewed skeptically and independently before publication. How this catalog is written.
Image: Wellcome Collection, London, Wikimedia Commons. License CC BY 4.0. View original source.
