Chapter 4: Table of Contents
Modified Transfixing Ligature
The modified transfixing pattern is used to ligate arteries, larger isolated vessels and pedicles. It is only slightly modified from the transfixing pattern. It begins by taking a full thickness perpendicular bite into the vessel ensuring that only a small portion of the vessel is encircled by suture. A simple or double throw is placed before the two free ends are tied around the opposite side of the vessel, constricting the entire lumen. Simple throws, rather than surgeon’s throws should be used for the knot, to ensure proper tightening and vessel ligation.