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== '''Ligature''' == * Suture choice ** 2-0 vicryl is sufficient for most cases, for example when tying off the mesentery in a bowel resection ** 2-0 prolene or silk may be a good choice for large named vessels e.g. IMA or splenic artery * Technique ** Large vessels *** Tie in continuity **** Free 1.5cm of vessel using blunt dissection (Mixter) **** Tie it proximally - use a suture passer to give the tie to the Mixter jaws **** Now tie distally **** Leave 1cm stump on the end that's staying, 0.5cm on the specimen end *** Tie with artery forceps **** If unable to free sufficient length to give a 1cm stump, need to transfix about 3mm distal to the other ligature
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