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Related Experiment Videos

Postoperative complication from hemostatic clips.

R R Landrigan1, R P Finney, S C Hopkins

  • 1Department of Urology, James A. Haley Veterans Hospital, Tampa, Florida.

Urology
|October 1, 1987
PubMed
Summary
This summary is machine-generated.

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Hemostatic clips left after prostatectomy can migrate to the bladder, forming stones and causing urinary retention. Surgeons should use these clips cautiously near the vesicourethral anastomosis to prevent such complications.

Area of Science:

  • Urology
  • Surgical Complications
  • Medical Device Complications

Background:

  • Radical retropubic prostatectomy is a common procedure for prostate cancer.
  • Hemostatic clips are frequently used to control bleeding during surgery.
  • Complications related to surgical materials require careful consideration.

Observation:

  • Hemostatic clips were discovered in a patient's bladder four months post-prostatectomy.
  • A calculus (stone) had formed on one of the retained hemoclips.
  • This calculus led to a critical condition of acute urinary retention.

Findings:

  • The calculus on the hemostatic clip was the direct cause of acute urinary retention.
  • Possible causes include inadvertent intraoperative inclusion of clips in the bladder or early intraurethral migration.

Related Experiment Videos

  • This complication, though rare, highlights a potential risk associated with hemostatic clip usage.
  • Implications:

    • Hemostatic clips should be used sparingly, if at all, near the vesicourethral anastomosis.
    • This case underscores the importance of surgical technique and material awareness to prevent delayed complications.
    • Further vigilance is recommended to minimize risks associated with retained surgical materials.