Practical, cost-effective removal of Hem-o-lok Weck clip: a novel technique

Braden Rolig; James A Brown

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Practical, cost-effective removal of Hem-o-lok Weck clip: a novel technique

Journal article

Peer reviewed

Practical, cost-effective removal of Hem-o-lok Weck clip: a novel technique

Braden Rolig and James A Brown

Canadian journal of urology, Vol.31(5), pp.12019-12021

10/2024

PMID: 39462533

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Abstract

The Hem-o-lok Weck clip is part of a polymer locking ligation system often employed for hemostasis in surgical practices. Its use is routine in a wide array of surgical subspecialties. Surgeons have limited options in removing these clips when they are aberrantly positioned. Herein, we describe a novel, cost-effective approach for removing a Hem-o-lok clip using standard robotic instruments. This simple approach will allow surgeons to remove a Hem-o-lok clip precisely and quickly if it is not adequately placed. During a routine robotic-assisted laparoscopic prostatectomy a Hem-o-lok Weck clip was noted to be in juxtaposition to the rectal wall, and it was deemed appropriate to remove it. Ultimately, the indwelling Prograsp forceps was moved from the right fourth arm position to the left arm position. This allowed the Prograsp forceps to compress the scissors in the right hand port, which was insufficient in cutting the hinge of the clip. This provided sufficient force to cut through the clip at its hinge with ease. The Hem-o-lok Weck clip is used in various surgical specialties. It is occasionally placed suboptimally and requires removal. Given the challenge of finding and using the clip removal device, surgeons should be aware of this simple and cost-effective way of removing a Hem-o-lok clip if desired.

Blood Loss, Surgical - prevention & control

Cost-Benefit Analysis

Device Removal - economics

Device Removal - methods

Hemostasis, Surgical - economics

Hemostasis, Surgical - instrumentation

Hemostasis, Surgical - methods

Humans

Laparoscopy - economics

Laparoscopy - methods

Male

Prostatectomy - economics

Prostatectomy - instrumentation

Prostatectomy - methods

Robotic Surgical Procedures - economics

Robotic Surgical Procedures - instrumentation

Surgical Instruments - economics

Details

Title: Subtitle: Practical, cost-effective removal of Hem-o-lok Weck clip: a novel technique
Creators: Braden Rolig - University of Iowa, Orthopedics and Rehabilitation
James A Brown - University of Iowa
Resource Type: Journal article
Publication Details: Canadian journal of urology, Vol.31(5), pp.12019-12021
PMID: 39462533
ISSN: 1195-9479
Language: English
Date published: 10/2024
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation; Urology
Record Identifier: 9984740952202771

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