The ORP patients had a conventional stomatization and 'racquet handle' repair of the bladder if necessary, with mucosal eversion and a direct circular interrupted 'end-to-end' suture anastomosis between the bladder and urethra. This case shows that the metallic surgical clips can penetrate into the intact bile duct wall through serial maceration, and we believe that careful application of clips may be the only way to prevent their migration after laparoscopic cholecystectomy. (A) Lateral view of cystography: a surgical metal clip can be seen in contact with the urethra (arrow). Complications related to clips fortunately are rare but have the potential to result in significant harm. J Surg Case Rep. 2020 Sep 10;2020(9):rjaa289. BMJ Case Rep. 2013 Feb 27;2013:bcr2012007982. Clip migration has been reported previously, but to our knowledge we present the first case of clip migration to the colon after laparoscopic partial nephrectomy. 2006. The number of specimens with positive surgical margins was significantly lower in the LigaSure group than in the Hem-o-lok group (24.8 vs 40.8%, p = 0.002). Patients with BNCs were compared with those without BNCs to identify the risk factors for BNC occurrence. Surg Lap Endosc Percut Tech. Surgical clip application expands the indications for PAPD treatment in the newborn unit or outpatient setting with lesser incidences of complications. Bladder stone formation on iatrogenic foreign bodies following radical prostatectomy is an uncommon postoperative complication. A 54 year-old man underwent RARP with nerve- sparing procedure with HOLCs in the left neurovascular bundle. There are some suggestions about the mechanisms of the migration process, but the details are still unclear. Gastroesophageal reflux 4. No factor was predictive of morbidity by multivariate analysis. Realizamos un análisis descriptivo de la muestra y el cálculo de la incidencia de EAU-V, un análisis univariante de los factores asociados mediante la t de Student y la chi cuadrado de Pearson, un análisis del tiempo transcurrido hasta la aparición de estenosis y una predicción del riesgo de EAU-V. The Hem-o-lok clips (HOLC) is frequently used for hemostasis of the lateral pedicles in robot-assisted prostatectomy (RARP) and laparoscopic radical prostatectomy (LRP). We present a rare postoperative complication occurring after a laparoscopic radical prostatectomy with nerve-sparing procedure carried out with the placement of 3 Weck Hem-o-lok-L clips in the right neurovascular bundle, in a patient with clinically localized prostate cancer. The purpose of this study was to determine the incidence of patient-self reported post prostatectomy incontinence, impotence, bladder neck contracture or stricture, better, same or worse quality of life and willingness for same treatment again in a large group of radical prostatectomy (RP) patients and to determine if these morbidities are predictable with demographic, surgical or prostate cancer (PC) factors. 2014 Apr 28;20(16):4827-9. doi: 10.3748/wjg.v20.i16.4827. ... Of the 13 reported cases, 9 (62 %) showed BNC; and 4 (31 %), stone formation. 1. At 3 postoperative years, follow-up ultrasonography revealed a small round mass in the bladder. COVID-19 is an emerging, rapidly evolving situation. Success rates vary widely, however, and with each additional procedure the chance of success diminishes. The important surgical factors in preventing BNCs are to avoid closing the BN too tightly and attaining good apposition of the BN with the urethral stump with a watertight closure. Despite incontinence and impotence significantly affecting QOL self-reporting (P=0.001, 0.001, respectively) and willingness to undergo RP again (P=0.001, 0.067, respectively), the majority of patients would choose surgery again. Histological findings of the transected urinary bladder tissues did not differ among groups.Conclusions We report a case of an incidentally discovered Hem-o-lok migration into the bladder after laparoscopic radical prostatectomy. When these clips are used to secure a large bundle of tissue, they often fall off or are misplaced, resulting in bleeding and the subsequent need for electrocautery or reapplication of the clips, which increases damage to the adjacent tissues. Background . Cystography and echography disclosed a possible aetiology that was later confirmed by cystoscopy: a metal clip protruding into the urethra through the urethrovesical anastomosis. 28 years experience General Practice. This takes me back to surgical clips and staples. Interested in research on Surgical Instruments? The median surgical and console times were significantly shorter for the LigaSure group than for the Hem-o-lok group (p < 0.001 and 0.003, respectively). If multiple attempts at endoscopic management fail, open reconstruction may be required. A HOLC with a calculus was revealed and retrieved by stone forceps through the urethra. Cystoscopic view of a bladder stone that formed around a metal clip. Surgical clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. 2000 Dec;14(12):1188. doi: 10.1007/s004640040030. The RALP 'parachute' technique, which expands the anastomosis towards the bladder, appears to protect against BNC. The patient was discharged 2 days postoperatively. Overall, BNCs occurred in 21 of 488 patients (4.3%): 17 patients (4.7%) who underwent ORP, 4 patients (4%) who underwent LRP, and no patients who underwent RARP. 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