Development of independent vessel security after ligation with absorbable sutures or clips

Advantage of absorbable suture material for pulmonary artery ligation

“…Brohim and colleagues underwent quantitative examination of security for ligature with absorbable sutures on the carotid artery and external jugular vein in rabbits. 4 Arteries and veins ligated with Vicryl were secure up to an intravascular pressure of 1000 mmHg and 500 mmHg, respectively, just after ligation. Two weeks after ligation when the ligatures were removed, arteries were physiologically secure up to 1000 mmHg, which is far above generally attainable pressure.…”

“…[1][2][3] Vessel security after ligation with absorbable sutures was shown on the systemic artery in an animal model using a quantitative assay of the vessel's resistance to leakage. 4 However, the effectiveness and safety of ligating pulmonary arteries using absorbable suture materials has not been described. Here, we compared tissue reactions around sites of the pulmonary artery ligated with absorbable (Vicryl; (polyglycolide lactide; Johnson & Johnson, Tokyo, Japan)) and nonabsorbable (silk) sutures and investigated time-dependent changes after ligature.…”

Embolism of a Metallic Clip: An Unusual Complication following Laparoscopic Cholecystectomy

“…Clip ligation is commonly used for hemostasis in open surgery and to a greater extent in laparoscopic surgery because of its quick and easy handling [5, 7]. Laparoscopic treatment of bleeding from aberrant portal veins near the liver bed is difficult and normally sutures have to be used.…”

“…Furthermore, incorrect application of the clips can lead to dislocation of clips resulting in bleeding, biliary leaks, or migration of clips into the common bile duct [7, 8, 10, 11, 12, 13]. …”

“…The use of metallic clips to stop bleeding is also standard in laparoscopic surgery, as in conventional open surgery, due to its quick and easy handling (multifire applicators) [7, 5]. However, there are many complications caused by incorrect placement, dislocation, and migration of the clips [4, 7, 8, 9, 10, 11, 12, 13, 14, 15]. We describe a very rare complication after laparoscopic cholecystectomy and discuss the use of clips for hemostasis.…”