Iliac Vein Injury Due to a Damaged Hot Shearstrade mark Tip Cover During Robot Assisted Radical Prostatectomy.
10.3349/ymj.2011.52.2.365
- Author:
Enrique Ian LORENZO
1
;
Wooju JEONG
;
Sangun PARK
;
Won Tae KIM
;
Sung Joon HONG
;
Koon Ho RHA
Author Information
1. Urological Science Institute, Department of Urology, Yonsei University College of Medicine, Seoul, Korea. khrha@yuhs.ac
- Publication Type:Case Report ; Research Support, Non-U.S. Gov't
- Keywords:
Hot shears;
instrument malfunction;
robot assisted radical prostatectomy;
Da Vinci prostatectomy
- MeSH:
Humans;
Iliac Vein/*injuries;
Male;
Middle Aged;
Prostatectomy/*adverse effects/instrumentation/methods;
Prostatic Neoplasms/surgery;
Robotics/instrumentation
- From:Yonsei Medical Journal
2011;52(2):365-368
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a rare case of vascular injury secondary to a damaged Hot Shearstrade mark 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.
