What is the Ligature – Two Hands used for?

Ligate (occlude) blood vessels to control bleeding; Tie off pedicles and tissue during surgical procedures; Secure threads with a firm double-turn starting knot; Perform ligatures in fields with good exposure, where both hands reach easily; Teach the basics of manual surgical tying in skills labs.

How do you tie the Ligature – Two Hands?

The Ligature – Two Hands is the technique of tying off a vessel or tissue using both hands to guide the thread, starting with a double turn that holds the first loop in place while the knot is completed. It's one of the basic skills of operative technique, valued for the control it gives and for the security of the first throw, which won't loosen before the second is thrown. Follow the illustrated step-by-step, with a photo for every stage, on Desbravai.

Is the Ligature – Two Hands hard to tie?

The Ligature – Two Hands is rated medium, in the Surgical category and is taught with a photo at every stage on Desbravai.

What precautions apply when using the Ligature – Two Hands?

The double turn must hold without loosening before the second throw, or the vessel may bleed; Excess tension can cut through the vessel or the thread; adjust the force to the tissue; Not suited to very deep fields, where the one-handed or instrumental technique works better.

Ligature – Two Hands

Q: What other names does the Ligature – Two Hands have?

It is also known as Ligature – Two Hands, Ligature Knot – Two Hands, Ligadura – Dos manos, Ligadura de duas mãos. (ABOK #1209)

Ties off a vessel or tissue with a ligature knot (double initial turn) using the two-hand technique

Also called: Ligature – Two Hands, Ligature Knot – Two Hands, Ligadura – Dos manos, Ligadura de duas mãos · ABOK #1209

What it is for

Ligate (occlude) blood vessels to control bleeding
Tie off pedicles and tissue during surgical procedures
Secure threads with a firm double-turn starting knot
Perform ligatures in fields with good exposure, where both hands reach easily
Teach the basics of manual surgical tying in skills labs