Practical, cost-effective removal of Hem-o-lok Weck clip: a novel technique.

IF 1.2 4区 医学 Q3 UROLOGY & NEPHROLOGY Canadian Journal of Urology Pub Date : 2024-10-01
Braden Rolig, James A Brown
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Abstract

The Hem-o-lok Weck clip is part of a polymer locking ligation system often employed for hemostasis in surgical practices. Its use is routine in a wide array of surgical subspecialties. Surgeons have limited options in removing these clips when they are aberrantly positioned. Herein, we describe a novel, cost-effective approach for removing a Hem-o-lok clip using standard robotic instruments. This simple approach will allow surgeons to remove a Hem-o-lok clip precisely and quickly if it is not adequately placed. During a routine robotic-assisted laparoscopic prostatectomy a Hem-o-lok Weck clip was noted to be in juxtaposition to the rectal wall, and it was deemed appropriate to remove it. Ultimately, the indwelling Prograsp forceps was moved from the right fourth arm position to the left arm position. This allowed the Prograsp forceps to compress the scissors in the right hand port, which was insufficient in cutting the hinge of the clip. This provided sufficient force to cut through the clip at its hinge with ease. The Hem-o-lok Weck clip is used in various surgical specialties. It is occasionally placed suboptimally and requires removal. Given the challenge of finding and using the clip removal device, surgeons should be aware of this simple and cost-effective way of removing a Hem-o-lok clip if desired.

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实用、经济地取出 Hem-o-lok Weck 夹:一种新技术。
Hem-o-lok Weck 夹是聚合物锁定结扎系统的一部分,在外科手术中经常用于止血。它是各种外科亚专科的常规用具。当这些夹子的位置出现异常时,外科医生移除夹子的选择非常有限。在此,我们介绍一种使用标准机器人器械移除 Hem-o-lok 血夹的经济有效的新方法。这种简单的方法可以让外科医生在 Hem-o-lok 血型夹放置不当时准确快速地将其取出。在一次常规的机器人辅助腹腔镜前列腺切除术中,医生发现一个 Hem-o-lok Weck 夹与直肠壁并置,因此认为应该将其取出。最后,将留置的 Prograsp 夹钳从右第四臂位置移到左臂位置。这使得 Prograsp 钳能够压迫右侧端口的剪刀,而剪刀不足以剪断夹子的铰链。这提供了足够的力量,可以轻松剪断夹子的铰链处。Hem-o-lok Weck 血夹用于各种外科专科。偶尔也会出现放置不当而需要取出的情况。考虑到寻找和使用夹子移除装置的难度,外科医生应该了解这种简单而经济的方法,以便在需要时移除 Hem-o-lok 夹子。
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来源期刊
Canadian Journal of Urology
Canadian Journal of Urology UROLOGY & NEPHROLOGY-
CiteScore
1.90
自引率
0.00%
发文量
86
审稿时长
6-12 weeks
期刊介绍: The CJU publishes articles of interest to the field of urology and related specialties who treat urologic diseases.
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