Provider Prepared’s Weekly Pearl of Wound Wisdom #12 Lessons in Ligature
Nerves frequently course through tissues with blood vessels. All clamping and ligation of blood vessels should be done under direct visualization to avoid nerve damage.
Using hemostats, the bleeding end of the vessel is clamped, the hemostat is lifted to expose the vessel. An absorbable 5-0 or 6-0 suture is then passed around the hemostat and a knot tied around the vessel past the end of the hemostat. The hemostat is removed once the suture is anchored. Three knots are used to secure the ligature stitch.
Roberts, JA et al. Clinical Procedures in Emergency Medicine 2010. 573
Be prepared for all your ligature wound management needs with a laceration repair kit from Provider Prepared!
Nathan Whittaker, MD
- Brandon Durfee