We have a few surgeons who use water for CA cases> One is just out of his residency, 2 is a breast CA specialists. Same rationale. I remember surgeons using a fresh clamp for every bleeder on a CA case-then using the same scissors for each cut. This was before staples were invented. Haven"t seen that technique in years-thank goodness, because you could use 50 plus clamps for one case. Of course, we didn't count instruments then, either!