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

Authors
 Enrique Ian Lorenzo  ;  Wooju Jeong  ;  Sangun Park  ;  Won Tae Kim  ;  Sung Joon Hong  ;  Koon Ho Rha 
Citation
 YONSEI MEDICAL JOURNAL, Vol.52(2) : 365-368, 2011 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2011
Keywords
Hot shears ; instrument malfunction ; robot assisted radical prostatectomy ; Da Vinci prostatectomy
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.
Files in This Item:
T201101070.pdf Download
DOI
10.3349/ymj.2011.52.2.365
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Tae(김원태)
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Lorenzo, Enrique Ian(이안로렌조)
Jeong, Woo Ju(정우주)
Hong, Sung Joon(홍성준) ORCID logo https://orcid.org/0000-0001-9869-065X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92980
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