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Types of Ligature Clips in Surgery

Submitted by chenlu225 on Wed, 03/06/2024 - 21:24

Currently, ligature clips are essential for closing vascular tissue in minimally invasive surgeries like laparoscopy. Kangjiis here to tell you more about metal titanium ligature clips, non-absorbable ligature clips, and absorbable ligature clips. They are divided up based on their material and purpose.

What Are Ligature Clips?

In surgical procedures, ligature clips are small metallic or non-metallic devices used to occlude blood vessels or other tubular structures. They are often employed in surgeries where it's necessary to seal off blood vessels to control bleeding or to prevent the flow of fluids. Ligature clips come in various sizes and shapes to accommodate different vessel diameters and surgical needs.

These clips work by being placed around the vessel or structure, and then they are closed or clamped shut, effectively sealing the vessel or structure shut. They provide a secure closure, which can be crucial in preventing hemorrhage or leakage during and after surgery.

Ligature clips offer several advantages over traditional methods of vessel ligation, such as sutures. They can be quicker to apply, particularly in minimally invasive procedures, and they provide consistent and reliable closure. Additionally, they may cause less tissue trauma and inflammation compared to sutures, potentially leading to faster healing and recovery for the patient.

Overall, ligature clips are valuable tools in surgical practice, particularly in endoscopic surgery, such as laparoscopic removal of the gallbladder and other modern surgical procedures.

Features of Ligature Clips

Here are some common features of ligature clips:

1.Material: Ligature clips can be made from various materials, including stainless steel, titanium, absorbable polymers, or bioresorbable metals. The choice of material depends on factors such as biocompatibility, durability, and intended duration of use.

2.Size and Configuration: Ligature clips come in different sizes and configurations to accommodate various surgical needs and anatomical structures. They may range from small, fine clips for delicate procedures to larger clips for securing larger vessels or tissues.

3.Closure Mechanism: Ligature clips feature a closure mechanism that allows them to securely grasp and close around vessels or tissues. This mechanism may involve a spring-loaded design, a ratcheting mechanism, or other mechanisms to ensure reliable closure.

4.Hemostatic Properties: Some ligature clips are specifically designed for hemostasis, meaning they are intended to control bleeding by securely occluding blood vessels. These clips may have serrated jaws or other features to enhance their hemostatic capabilities.

5.Radiopacity: Many ligature clips are radiopaque, meaning they are visible under medical imaging modalities such as X-rays or fluoroscopy. Radiopacity allows surgeons to verify the position and placement of the clips intraoperatively and facilitates postoperative assessment.

6.Absorbability: Absorbable ligature clips are designed to degrade and be absorbed by the body over time, eliminating the need for clip removal procedures. This feature is particularly useful in procedures where subsequent removal of the clips may be undesirable or impractical.

7.Tensile Strength: Ligature clips must possess sufficient tensile strength to withstand physiological stresses and maintain secure closure of vessels or tissues during the healing process. The tensile strength of the clips may vary depending on the material and design.

8.Compatibility with Delivery Systems: Ligature clips are compatible with specialized clip appliers and delivery systems, which facilitate precise placement and deployment of the clips during surgery. These delivery systems may vary in design depending on the surgical approach (e.g., open surgery, laparoscopic surgery, or endoscopic procedures).

9.Sterility: Ligature clips are supplied sterile to prevent the risk of infection. They are typically packaged in individual sterile pouches or cartridges to maintain sterility until the time of use.

Different Types of Ligature Clips

Titanium Ligatures
titanium ligature clips

Titanium ligatures are medical devices used in surgical procedures for ligating or occluding blood vessels, ducts, or tissue structures. These ligatures are made from titanium alloys, which are biocompatible and exhibit excellent strength, durability, and corrosion resistance properties.

The use of titanium ligatures offers several benefits, including:

Biocompatibility: Titanium ligatures are well-tolerated by the body, reducing the risk of adverse tissue reactions or inflammation.
Corrosion Resistance: Titanium alloys exhibit excellent resistance to corrosion, ensuring long-term durability and integrity of ligatures within the surgical site.
Radiopacity: Titanium ligatures are radiopaque, meaning they are visible under medical imaging modalities such as X-rays and CT scans, facilitating postoperative assessment and follow-up care.
Strength-to-weight ratio: Titanium possesses a high strength-to-weight ratio, allowing ligatures to provide secure closure without adding unnecessary bulk or weight to surgical instruments.

Non-absorbable Ligature Clips

Non-absorbable ligature clips are medical devices used in surgical procedures to ligate or occlude blood vessels, ducts, or tissue structures. Unlike absorbable clips, which degrade and are absorbed by the body over time, non-absorbable ligature clips maintain their structural integrity indefinitely. Non-absorbable ligature clips are polymeric materials that are inert and metal-like; they do not support bacterial growth; they do not harbor bacteria that can cause infection, but they are not absorbable and degradable.

The use of non-absorbable ligature clips offers several advantages, including:

Long-Term Durability: Non-absorbable ligature clips maintain their mechanical integrity indefinitely, ensuring sustained closure of vessels and tissues without the need for clip removal.
Enhanced Visibility: Many non-absorbable ligature clips are radiopaque, meaning they are visible under medical imaging modalities such as X-rays and fluoroscopy, facilitating postoperative assessment and follow-up care.
Versatility: Non-absorbable ligature clips come in various sizes and configurations, allowing surgeons to tailor their selection based on the specific requirements of each procedure.

Absorbable Ligature Clips

Absorbable ligature clips are medical devices used in surgical procedures to ligate or occlude blood vessels, ducts, or tissue structures.Absorbable ligature clips are mainly composed of two layers: the outer layer is made of polyglycolic acid, and the inner layer is made of polyglycolic carbonic acid.Unlike non-absorbable clips, which maintain their structural integrity indefinitely, absorbable ligature clips are designed to degrade and be absorbed by the body over time. These clips are typically made from biocompatible materials that break down naturally within the body, such as absorbable polymers or bioresorbable metals.

The use of absorbable ligature clips offers several advantages, including:

Biodegradability: Absorbable ligature clips degrade over time through natural enzymatic processes within the body, eliminating the need for clip removal procedures and reducing the risk of complications associated with retained foreign bodies.
Reduced Foreign Body Reaction: The biocompatible nature of absorbable ligature clips reduces the risk of foreign body reactions and inflammatory responses compared to non-absorbable materials, promoting tissue healing and remodeling.
Enhanced Patient Comfort: Absorbable ligature clips eliminate the need for clip removal procedures, reducing postoperative pain, discomfort, and the risk of secondary infections, thereby enhancing patient comfort and recovery.

Kangji offers a wide range of ligature clips, please leave us a message if you need one!

Originally Posted On:https://www.kangjimd.com/types-of-ligature-clips-in-surgery.html