@Article{,
AUTHOR = {Braden Rolig, James A. Brown},
TITLE = {Practical, cost-effective removal of Hem-o-lok Weck clip: a novel technique},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {31},
YEAR = {2024},
NUMBER = {5},
PAGES = {12019--12021},
URL = {http://www.techscience.com/CJU/v31n5/59566},
ISSN = {1488-5581},
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.<br/>
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.<br/>
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.<br/>
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.},
DOI = {}
}