Hemostatic ligature for operative laparoscopy.

Abstract

We introduce a safe and convenient method for ligature of vascular pedicles at laparoscopic surgery in which one laparoscopic and two auxillary ports are used. The first two-turn wrap around the loop is made extracorporeally with the hand and is locked by an intracorporeal tie with manipulation of the target tissue. Knot typing is finished with the second and third nontension tie of one-turn throws. We have used this method for laparoscopic surgery for more than 2.5 years and have not observed a failure or late hemorrhage. Two-turn throw incomplete loop ligature is a useful and convenient technique for hemostasis in three-port pelviscopic operations.