You notice baked tissue in the jaws of your Bonney forceps. What is the best practice in this situation?

When baked tissue is present in the jaws of surgical instruments like Bonney forceps, it indicates that there has been tissue desiccation, which can compromise sterility and the integrity of the surgical field. In this context, considering the entire setup contaminated and starting over with a new set-up is the most prudent action. This approach helps ensure that no residual contaminants or risks are carried over into the surgical procedure, thereby prioritizing patient safety and maintaining the highest standards of surgical practice.

Using the forceps with baked tissue could pose significant risks, as it may lead to infection or complications during the procedure. Cleaning them immediately is a good practice but may not guarantee that they are completely sterile afterward. Similarly, trying to remove the tissue with a sponge does not address the underlying issue of contamination and may further complicate the situation. Starting fresh with a new instrument setup is the best way to avoid any potential hazards and ensure the operation proceeds under the best possible conditions.