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Silk Loop for Ligation of Running Sutures

Department of Surgery National Taiwan University Hospital Taipei, Taiwan

For reprint information contact: Chiu Ing Sh, MD, PhD Department of Surgery National Taiwan University Hospital 7 Chung Shan S. Road Taipei 100, Taiwan ROC Tel: 886 2 2397 0800 Ext 5091 Fax: 886 2 2322 2431 Email: ingsh{at}ha.mc.ntu.edu.tw

	ABSTRACT

TOP ABSTRACT INTRODUCTION TECHNIQUE DISCUSSION REFERENCE

 
A technique for ligating the end of a running polypropylene suture or for securing inadvertent loops is described. This method was used in 700 pediatric cardiac procedures without failure of ligation.

	INTRODUCTION

TOP ABSTRACT INTRODUCTION TECHNIQUE DISCUSSION REFERENCE

 
Continuous suturing with polypropylene or other monofilament suture is the most frequently used technique in cardiac surgery. If cross-clamping or perfusion time is destined to be lengthy, one has to choose a timesaving but effective method for every aspect of the surgical procedure. We describe a quick and effective method of tying the stitches at the end of a running polypropylene suture. This technique can also be applied when an inadvertent loop is made during suturing.

	TECHNIQUE

TOP ABSTRACT INTRODUCTION TECHNIQUE DISCUSSION REFERENCE

 
Just before the last stitch (Figure lA), a loop is made and a no.3 silk is passed through it to pull the two arms of the loop evenly (Figure lB) and tied with the last stitch (Figure lC) three times in one direction and then three times again by changing hands. If a loop is made inadvertently, the same technique can be applied (Figures 1D, 1E, 1F). If the inadvertent loop is long enough (Figure lG), it can be cut (Figure 1H) and tied as before (Figure 1I). We have applied this technique in our last 700 pediatric cardiac operations without failure of ligation.

View larger version (115K): [in this window] [in a new window]   Figure 1. (A, B, C) At the end of a running suture, a no.3 silk suture of suitable length can be passed through the loop to facilitate even tying. (D, E, F) If an inadvertent loop is made during a running suture, the same technique can be applied. (G, H, I) If a long loop was made inadvertently it can be cut and self-tied.

	DISCUSSION

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	REFERENCE

TOP ABSTRACT INTRODUCTION TECHNIQUE DISCUSSION REFERENCE

 

1. Medina M. Introduction of a new double-looped suture. Surg Laparosc Endosc 1995;5:50–5.[Medline]

This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Chiu, I. S. Articles by Lin, S. F. Search for Related Content PubMed Articles by Chiu, I. S. Articles by Lin, S. F.