Hem‐o‐lok clip causing small bowel obstruction after robot‐assisted radical prostatectomy

Ghani, Fares; Hurwitz, Michael; Menon, F.A.C.S. Mani

doi:10.1111/j.1442-2042.2012.03063.x

Cited by 9 publications

(6 citation statements)

References 3 publications

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“…In view of the several reports of Hem-o-lok-related postoperative complications, [13][14][15]17 we recommend that large randomized studies be undertaken to determine the effectiveness and safety of these clips and that retroperitoneal operations such as renal transplantation be included in the analysis.…”

Section: Resultsmentioning

confidence: 99%

“…There is an interesting report 13 of a postsurgical smallbowel obstruction caused by a Hem-o-lok clip applied during robot-assisted radical prostatectomy and another report of a clip migrating into the rectum 16 and presenting as a mass on colonoscopy performed for diverticular disease of the colon.…”

Section: Discussionmentioning

confidence: 99%

“…8 In 2006, the manufacturer amended the information in the instructions for the use of Hem-o-lok clips. 9 Since then there have been reports of cases of clip-related complications after robotassisted laparoscopic radical prostatectomy, 10,11,12 including small-bowel obstruction, 13 laparoscopic radical nephroureterectomy with bladder cuff excision, 14 and laparoscopic cholecystectomy. 15 We report 2 cases of small-bowel obstruction and perforation caused by Hemo-lok clips initially applied for the occlusion of the inferior mesenteric artery (IMA), during elective laparoscopic sigmoid colon resection.…”

Section: Introductionmentioning

confidence: 99%

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Hem-o-lok Clip–Related Complications After Colorectal Surgery

Nikolopoulos

Ghananandan

Kerwat

2015

CRSLS

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Introduction: Hem-o-lok ligation clips are widely used for the hemostatic control of major mesenteric vessels during laparoscopic colorectal resection. We report 2 rare cases of bowel obstruction and perforation requiring urgent surgical intervention after the application of Hem-o-lok clips (Weck Surgical Instruments, Teleflex Medical, Durham, NC, USA), which were used to occlude vessels and provide hemostasis during elective laparoscopic sigmoid colon resection. In both cases, the clips completely dislodged from the vessels to which they were initially applied and eventually attached to the wall of the small bowel, causing obstruction, ischemia, and perforation.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hem-o-lok Clip–Related Complications After Colorectal Surgery

Nikolopoulos

Ghananandan

Kerwat

2015

CRSLS

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“…Ghani described a rare case of small bowel obstruction caused by a HOLC after RALP in 2012 (16). The hook-end of the clip was tethered to small bowel mesentery, whilst the opposite end had become embedded in the abdominal wall.…”

Section: Discussionmentioning

confidence: 99%

Endourethral Migration of a Hem-o-Lok Clip after Robot-Assisted Laparoscopic Radical Prostatectomy

et al. 2014

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Hem-o-Lok clips (Weck Surgical Instruments, Teleflex Medical, Durham, North Carolina, USA) are widely used in robot-assisted laparoscopic radical prostatectomy because of their easy application and secure clamping. To date, there have been some reports of their migration into the urinary tract, causing urethral erosion, bladder neck contractures orcalculus formation. We report a case of endourethral migration of a hem-o-lok after robot-assisted laparoscopic prostatectomy. The hem-o-lok was almost completely endoluminal and attached to one end at the vesico-urethral anastomosis. The hem-o-lok was easily removed cystoscopically by using an endoscopic forceps.

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“…The urology literature describes cases of clip migration into the bladder, rectal migration after robotic prostatectomy, and small bowel obstruction after prostatectomy. [23][24][25] Most of these cases involved metallic clips; however, similar complications after migration of polymer Hem-o-lok clips have been observed. 26,27 The proposed mechanisms of clip migration relate to migration through the cystic duct because most cases are reported after laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%