Abstract

We agree with Mr Ahmad in that the irrigation system described requires an assistant to hold the limb and the surgeon to irrigate the wound. The hole in the middle of the sucker is plugged by the surgeon and the wound subsequently irrigated. However, in terms of the Yankauer sucker acting as a sprinkler system, it does indeed work very well for large wounds and does decrease wound contamination in our experience. The trick is to place the distal end of the sucker about 2–3 cm from the wound and in the centre of the wound with a large bowl underneath the limb. Furthermore, we do acknowledge that this is a high-flow, low-pressure system which has been mentioned in our original text.

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