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Iliac vein injury due to a damaged Hot Shears™ tip cover during robot assisted radical prostatectomy

Authors
 Sung Joon Hong ; Koon Ho Rha ; Won Tae Kim ; Sangun Park ; Wooju Jeong ; Enrique Ian Lorenzo 
Citation
 Yonsei Medical Journal, Vol.52(2) : 365~368, 2011 
Journal Title
 Yonsei Medical Journal 
ISSN
 0513-5796 
Issue Date
2011
Abstract
We report a rare case of vascular injury secondary to a damaged Hot Shears™ tip cover. Two 1 mm holes in the tip cover resulted in perforations in the obturator and external iliac veins during pelvic node dissection. Bleeding was controlled with bipolar coagulation and a 5 mm metal clip in the obturator and iliac vein, respectively. The rest of the procedure was completed uneventfully. Frequent integrity assessment of this accessory is necessary. Its function is important in order to carry out safe dissection in proximity to delicate structures. When injuries arise from areas not directly involved in the dissection, immediate inspection of the instruments should be mandatory.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/92980
DOI
10.3349/ymj.2011.52.2.365
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Urology
Yonsei Authors
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