Ligature

Short description: Piece of thread (suture) tied around an anatomical structure

Visual demonstration

In surgery or medical procedure, a ligature consists of a piece of thread (suture) tied around an anatomical structure, usually a blood vessel, another hollow structure (e.g. urethra) or an accessory skin tag to shut it off.

History

The principle of ligation is attributed to Hippocrates and Galen.^[1]^[2] In ancient Rome, ligatures were used to treat hemorrhoids.^[3] The concept of a ligature was reintroduced some 1,500 years later by Ambroise Paré,^[4] and finally it found its modern use in 1870–1880, made popular by Jules-Émile Péan.

Procedure

With a blood vessel the surgeon will clamp the vessel perpendicular to the axis of the artery or vein with a hemostat, then secure it by ligating it; i.e. using a piece of suture around it before dividing the structure and releasing the hemostat. It is different from a tourniquet in that the tourniquet will not be secured by knots and it can therefore be released/tightened at will.

Ligation is one of the remedies to treat skin tag, or acrochorda. It is done by tying string or dental floss around the acrochordon to cut off the blood circulation.^[5] Home remedies include commercial ligation bands that can be placed around the base of skin tags.^[6]

Complications of ligation in polydactyly treatment include infection, neuroma or cyst formation.^[7]

References

↑ Lois N. Magner (1992). A History of Medicine. CRC Press. pp. 91.
↑ Greenblatt, Samuel; Dagi, T.; Epstein, Mel (1997-01-01). A History of Neurosurgery: In its Scientific and Professional Contexts. Thieme. p. 203. ISBN 9781879284173. https://books.google.com/books?id=QMNfYE8XVXcC&pg=PA203. Retrieved 2 November 2012.
↑ Khubchandani, Indru T.; Paonessa, Nina (2002-01-11) (in en). Surgical Treatment of Haemorrhoids. Springer Science & Business Media. pp. 2. ISBN 978-1-85233-496-3. https://books.google.com/books?id=ymSswOZ-vbMC&dq=Colorectal+surgery+ancient+Rome&pg=PA2.
↑ Paget, Stephen (1897). Ambroise Paré and his times, 1510-1590. G.P. Putnam's Sons. p. 23. https://archive.org/details/ambroiseparandh02pagegoog. Retrieved 2 November 2012.
↑ "Cutaneous skin tag". Medline Plus. https://www.nlm.nih.gov/MEDLINEPLUS/ency/article/000848.htm.
↑ MHS, Kristina Liu, MD (March 23, 2020). "Skin tag removal: Optional but effective". https://www.health.harvard.edu/blog/skin-tag-removal-optional-but-effective-2020032319079.
↑ Barnes, Curtis J.; De Cicco, Franco L. (2022). Supernumerary Digit. Treasure Island (FL): StatPearls Publishing. PMID 33232075. http://www.ncbi.nlm.nih.gov/books/NBK564405/.

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[1] Lois N. Magner (1992). A History of Medicine. CRC Press. pp. 91.

[GreenblattDagi1997-2] Greenblatt, Samuel; Dagi, T.; Epstein, Mel (1997-01-01). A History of Neurosurgery: In its Scientific and Professional Contexts. Thieme. p. 203. ISBN 9781879284173. https://books.google.com/books?id=QMNfYE8XVXcC&pg=PA203. Retrieved 2 November 2012.

[3] Khubchandani, Indru T.; Paonessa, Nina (2002-01-11) (in en). Surgical Treatment of Haemorrhoids. Springer Science & Business Media. pp. 2. ISBN 978-1-85233-496-3. https://books.google.com/books?id=ymSswOZ-vbMC&dq=Colorectal+surgery+ancient+Rome&pg=PA2.

[Paget1897-4] Paget, Stephen (1897). Ambroise Paré and his times, 1510-1590. G.P. Putnam's Sons. p. 23. https://archive.org/details/ambroiseparandh02pagegoog. Retrieved 2 November 2012.

[5] "Cutaneous skin tag". Medline Plus. https://www.nlm.nih.gov/MEDLINEPLUS/ency/article/000848.htm.

[6] MHS, Kristina Liu, MD (March 23, 2020). "Skin tag removal: Optional but effective". https://www.health.harvard.edu/blog/skin-tag-removal-optional-but-effective-2020032319079.

[7] Barnes, Curtis J.; De Cicco, Franco L. (2022). Supernumerary Digit. Treasure Island (FL): StatPearls Publishing. PMID 33232075. http://www.ncbi.nlm.nih.gov/books/NBK564405/.

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Ligature

Topic: Medicine

Contents

History

Procedure

See also

References