Intravesical Migration and Spontaneous Expulsion of a Hem-o-lok Polymer Ligating Clip After Laparoscopic Radical Prostatectomy

Mora, Enrique Rijo; Gali, O. Bielsa; Garin, Joᗛe A. Lorente; Arango, O.

doi:10.1016/j.urology.2009.06.062

Cited by 29 publications

(29 citation statements)

References 3 publications

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“…Several case reports have suggested that RRP, pure laparoscopic radical prostatectomy (LRP), and RALP are associated with complications related to the use of surgical clips, including BNC and the formation of bladder stones [13-19]. The purpose of this study was to evaluate the surgical clip-related complications that occurred after RRP, LRP, and RALP in our institution.…”

Section: Introductionmentioning

confidence: 99%

Surgical Clip-Related Complications after Radical Prostatectomy

Kwak

Kim

et al. 2010

Korean J Urol

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PurposeThe aim of this study was to describe the surgical clip-related complications that can occur after open retropubic prostatectomy (RRP), pure laparoscopic prostatectomy (LRP), and robot-assisted laparoscopic radical prostatectomy (RALP).Materials and MethodsA database of 641 patients who underwent RRP (n=439), LRP (n=49), and RALP (n=153) at our institution between January 2006 and April 2009 was reviewed to identify patients with complications related to the use of surgical clips. The median follow-up time for the entire cohort was 19.0 months (range, 1-42 months).ResultsOf the 641 patients, 25 (5.7%), 1 (2.0%), and 2 (1.3%) had a bladder neck contracture after RRP, LRP, and RALP, respectively. Two RRP patients had a bladder stone. In total, 6 patients had surgical clip-related complications. Metal clip migration was associated with 2 (8%) of the 25 RRP cases of bladder neck contracture and both (100%) of the RRP cases of bladder stone. Moreover, both (100%) of the RALP cases of bladder neck contractures were associated with Hem-o-lok clip migration into the anastomotic site.ConclusionsSurgical clips are prone to migration and may cause, or significantly contribute to, bladder neck contracture or the formation of bladder stones after radical prostatectomy. These findings also suggest that because the incidence of bladder neck contracture after RALP is low, the migration of Hem-o-lok clips should be suspected when voiding difficulty occurs after RALP.

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Section: Introductionmentioning

confidence: 99%

Surgical Clip-Related Complications after Radical Prostatectomy

Kwak

Kim

et al. 2010

Korean J Urol

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“…While migration of clips into the common bile duct has been previously reported in several laparoscopic cholecystectomies [3,4], migrations of surgical materials into the urinary tract like pelvicalyceal system, ureter and bladder are a rare condition. It has been reported following various urological procedures either in the ureter after laparoscopic partial nephrectomy [5][6][7] or into the bladder after surgery laparoscopic radical prostatectomy [5,8]. Moreover, a case of intrarectal migration after prostatectomy [7] and a case of migration in the colon after partial nephrectomy [9] have also been reported.…”

Section: Discussionmentioning

confidence: 99%

Uncommon Case of Ureteral Clip Migration Following Laproscopic Hysterctomy

Benatiya

Kiassi

Rais³

2018

J Med Cases

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Inadvertent ureteric injury is a hazard of laparoscopic hysterectomy and may cause usually ureteric fistulae or obstruction. Ureteral clip migration following laparoscopic hysterectomy as iatrogen ureteric injury has never been described. Here we report an unusual case of a 45-year-old female who presented with right flank pain. She has an history of laparoscopic hysterectomy 1 year ago. Abdominopelvic computed tomography (CT) scan confirmed the diagnosis of right renal colic following migration of a metalic clip. The patient was treated by the ureteroscopic ablation of the clip with the use of double J stent and had successful outcomes.

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“…В литературе описано несколько случа-ев миграции клипсы в нижние мочевые пути [2][3][4][5][6][7][8], а также в прямую кишку [9]. Часто миграция клипсы сопряжена со склерозом шейки мочевого пузыря.…”

Section: Discussionunclassified

Clip migration into the bladder after robotic radical prostatectomy

Велиев¹,

Томилов²,

Богданов³

et al. 2016

Cancer Urology

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Введение Робот-ассистированный лапароскопический до-ступ в США вытеснил по частоте применения позади-лонную радикальную простатэктомию, а в Европе и других странах используется все чаще [1]. При мало-инвазивном доступе (лапароскопическом / роботи-ческом) в качестве альтернативы интракорпоральному шву в гемостатических целях и при сохранении сосу-дисто-нервных пучков широко применяют клипсы, что сопряжено с развитием специфических осложне-ний, одним из которых является их миграция. В нас-тоящей статье мы приводим клинический случай миг-рации клипсы после роботической радикальной простатэктомии в мочевой пузырь с формированием конкремента. Клинический случай

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Intravesical Migration and Spontaneous Expulsion of a Hem-o-lok Polymer Ligating Clip After Laparoscopic Radical Prostatectomy

Cited by 29 publications

References 3 publications

Surgical Clip-Related Complications after Radical Prostatectomy

Surgical Clip-Related Complications after Radical Prostatectomy

Uncommon Case of Ureteral Clip Migration Following Laproscopic Hysterctomy

Clip migration into the bladder after robotic radical prostatectomy

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