What is the Ligature – Instrument Technique used for?

Tie sutures with short thread, saving material; Ligate vessels and tissue in deep fields the hands can't reach; Tie knots in laparoscopic surgery and confined spaces; Secure stitches with the needle holder already in hand, without switching instruments; Teach instrument tying (instrument tie) in surgical training.

How do you tie the Ligature – Instrument Technique?

The Ligature – Instrument Technique ties off vessels and tissue using the needle holder or forceps instead of the hands, wrapping the thread around the instrument to build the knot. It's the technique of choice when the thread is short or the field is deep and narrow, saving thread and allowing precision with very little slack. Follow the illustrated step-by-step, with a photo for every stage, on Desbravai.

Is the Ligature – Instrument Technique hard to tie?

The Ligature – Instrument Technique 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 – Instrument Technique?

Be careful the instrument doesn't damage the thread (avoid catching the part that stays in the knot with the needle holder's serrated jaw); A poorly alternated instrument tie turns into a granny knot that slips: alternate the direction of the wraps; A tag end that's too short can slip out of the instrument while tightening.

Ligature – Instrument Technique

Q: What other names does the Ligature – Instrument Technique have?

It is also known as Ligature – Instrument Technique, Ligature – Instrument Tie, Ligadura – Técnica con instrumento, Ligadura com porta-agulhas, Ligadura instrumental. (ABOK #1209)

Ligature – Instrument Technique — step by step

Ties the ligature using the needle holder or forceps instead of the hands

Also called: Ligature – Instrument Technique, Ligature – Instrument Tie, Ligadura – Técnica con instrumento, Ligadura com porta-agulhas, Ligadura instrumental · ABOK #1209

What it is for

Tie sutures with short thread, saving material
Ligate vessels and tissue in deep fields the hands can't reach
Tie knots in laparoscopic surgery and confined spaces
Secure stitches with the needle holder already in hand, without switching instruments
Teach instrument tying (instrument tie) in surgical training