Always inspect the locking ratchet and blade edges before use to make sure there are no defects, cracks, or debris that could cause slippage mid-procedure. Apply slow, gradual tension when opening the blades to protect nearby nerves, vessels, and delicate tissue structures from sudden trauma. During longer procedures, During longer procedures, periodically release and reposition the retractor to restore blood flow and prevent pressure-related tissue ischemia, frequency depends on tissue sensitivity and procedure duration.