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The Filshie clip for laparoscopic adnexal surgery
F A Garcia1, B Barker, T Myloyde
1Department of Obstetrics and Gynecology, University of Arizona Health Sciences Center, Tucson 85724, USA. fcisco@u.arizona.edu
Summary
The Filshie clip effectively controls bleeding in gynecologic endoscopic surgery. This cost-effective device aids hemostasis during procedures like salpingectomy and salpingo-oophorectomy.
Area of Science:
- Minimally invasive gynecologic surgery
- Surgical hemostasis techniques
Background:
- Gynecologic endoscopic procedures are common and necessitate control of large vascular structures.
- The Filshie clip, an FDA-approved occlusive device, is designed for contraception but shows potential for vascular control in laparoscopy.
Observation:
- This study details salpingectomy and salpingo-oophorectomy procedures performed laparoscopically.
- The Filshie clip was the primary tool used to ensure hemostasis during these gynecologic surgeries.
Findings:
- The Filshie clip proved effective in achieving hemostasis during the described laparoscopic gynecologic procedures.
- The device facilitated safe and efficient management of vascular structures.
Implications:
- The Filshie clip offers a useful and economical solution for hemostasis in gynecologic endoscopic surgery.
- This approach may enhance safety and reduce complications in minimally invasive gynecologic procedures.

