Iliac vein injury due to a damaged hot shears™ tip cover during robot assisted radical prostatectomy

Enrique Ian Lorenzo, Wooju Jeong, Sangun Park, Won Tae Kim, Sung Joon Hong, Koon Ho Rha

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We report a rare case of vascular injury secondary to a damaged Hot ShearsTM 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.

Original languageEnglish
Pages (from-to)365-368
Number of pages4
JournalYonsei medical journal
Issue number2
Publication statusPublished - 2011 Mar 1


All Science Journal Classification (ASJC) codes

  • Medicine(all)

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