Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Allergic reaction to Hulka clips.

W T Trathen, R J Stanley

    Obstetrics and Gynecology
    |November 1, 1985
    PubMed
    Summary

    This study presents a rare case of an allergic reaction to Hulka clips used for tubal sterilization. The clips are coated with gold to prevent corrosion, but this patient developed a sterile abscess and adhesions. The authors emphasize the need for preoperative allergy screening for gold in patients undergoing this procedure. They highlight that this is the first documented case of a gold allergy from Hulka clips and suggest that alternative sterilization methods may be necessary for gold-sensitive individuals.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    High-sensitivity electronic Stark spectrometer featuring a laser-driven light source.

    The Review of scientific instruments·2023
    Same author

    A deep learning approach to detect blood vessels in basal cell carcinoma.

    Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)·2022
    Same author

    Thresholding methods for lesion segmentation of basal cell carcinoma in dermoscopy images.

    Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)·2016
    Same author

    Automatic telangiectasia analysis in dermoscopy images using adaptive critic design.

    Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)·2011
    Same author

    Fuzzy logic techniques for blotch feature evaluation in dermoscopy images.

    Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society·2008
    Same author

    Microarray image spot segmentation using the method of projections.

    Biomedical sciences instrumentation·2002

    Area of Science:

    • Reproductive health interventions
    • Allergy and hypersensitivity reactions
    • Medical device complications

    Background:

    Tubal sterilization methods include various devices, such as Hulka clips. These clips are often coated with gold to prevent corrosion. Prior research has shown that gold is generally considered inert in the human body. However, this assumption may not apply to individuals with a specific sensitivity to gold. No prior work had resolved whether gold-coated devices could trigger allergic responses. This gap motivated the need to investigate unusual reactions following Hulka clip placement. The case described here highlights a rare but significant complication. It was already known that allergic reactions can occur with medical devices. This paper's contribution lies in identifying a previously unreported allergic response to gold in Hulka clips. The authors emphasize the importance of preoperative screening for metal allergies.

    Purpose Of The Study:

    The aim of this study was to report a unique case of an allergic reaction to gold-coated Hulka clips used for tubal sterilization. The specific problem involved a patient who developed a sterile abscess following the procedure. The motivation for this report stems from the lack of prior documentation of such an allergy. The authors sought to raise awareness among clinicians about the potential for gold allergy in this context. They aimed to encourage preoperative screening for metal sensitivities. The study also aimed to highlight the need for alternative sterilization methods for gold-allergic individuals. The authors sought to prevent similar complications in the future. Their goal was to contribute to safer medical device use in reproductive health.

    Keywords:
    gold allergytubal sterilizationHulka clipallergic reaction in surgery

    Frequently Asked Questions

    The study reports the first known case of an allergic reaction to gold-coated Hulka clips used in tubal sterilization.

    The patient developed a sterile abscess and adhesions following Hulka clip placement.

    Gold is used to coat Hulka clips to prevent corrosion and ensure device longevity.

    The reaction was diagnosed via laparotomy and histological analysis, which confirmed a sterile abscess.

    A sterile abscess is an inflammatory response without the presence of infection.

    Related Experiment Videos

    Main Methods:

    The study involved a single case report of a patient who underwent tubal sterilization using Hulka clips. The patient presented with symptoms consistent with an allergic reaction. Diagnostic procedures included laparotomy to remove the clips and assess the abscess. Histological analysis confirmed the absence of infection in the abscess. The patient's medical history was reviewed for prior allergic reactions. The authors compared this case with existing literature on device-related allergies. No prior cases of gold allergy from Hulka clips had been reported. The authors concluded that this was a novel observation requiring further attention.

    Main Results:

    The patient developed a sterile abscess following Hulka clip placement. Laparotomy revealed the abscess and adhesions caused by the clips. Histological findings showed no bacterial infection. The gold coating on the clips was identified as the likely allergen. The patient had no prior history of gold allergy. This case represents the first documented instance of a gold allergy from Hulka clips. The authors found no prior reports of this specific reaction. The results suggest the need for preoperative allergy screening for gold in patients undergoing this procedure.

    Conclusions:

    The authors state that this case demonstrates the potential for an allergic reaction to gold-coated Hulka clips. They propose that preoperative screening for gold allergy should be considered before using these clips. The authors suggest that alternative sterilization methods may be necessary for gold-sensitive patients. They emphasize the importance of recognizing rare but significant device-related complications. The authors conclude that this case adds to the understanding of device-induced hypersensitivity. They recommend further research into metal allergies in medical devices. Their findings suggest that clinicians should be aware of this rare but possible complication. The authors do not claim this is a common issue but stress its clinical relevance.

    The authors suggest screening for gold allergy before using Hulka clips in patients.