title: An efficient hand-tying technique for vessel ligation.
abstract: Vessel ligation is a fundamental surgical skill that must be performed efficiently. By identifying and eliminating redundant hand movements, we developed a more smooth method for tying a first knot around a hemostat-clamped vessel. The knot is made while the suture is being passed around the hemostat. In addition to being an exceptionally fast method, this technique allows a flat knot to be placed without the need to cross hands.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, University of Louisville, Louisville, KY 40202, USA. sesand03@louisville.edu
authors.forename: Stephen
authors.initials: S
authors.lastname: Sandwell
authors.forename: Ron
authors.initials: R
authors.lastname: Hazani
authors.forename: Morton
authors.initials: M
authors.lastname: Kasdan
mesh_terms: D002983:Clinical Competence; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008026:Ligation / Q000379:methods; D013536:Suture Techniques; D014656:Vascular Surgical Procedures / Q000379:methods*