title: Iliac vein injury due to a damaged Hot Shears™ tip cover during robot assisted radical prostatectomy.
abstract: We report a rare case of vascular injury secondary to a damaged Hot Shears™ 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.
authors.affiliation: Urological Science Institute, Department of Urology, Yonsei University College of Medicine, 250 Seongsan-ro, Seodaemun-gu, Seoul 120-752, Korea.
authors.forename: Enrique Ian
authors.initials: EI
authors.lastname: Lorenzo
authors.forename: Wooju
authors.initials: W
authors.lastname: Jeong
authors.forename: Sangun
authors.initials: S
authors.lastname: Park
authors.forename: Won Tae
authors.initials: WT
authors.lastname: Kim
authors.forename: Sung Joon
authors.initials: SJ
authors.lastname: Hong
authors.forename: Koon Ho
authors.initials: KH
authors.lastname: Rha
mesh_terms: D006801:Humans; D007084:Iliac Vein / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D011471:Prostatic Neoplasms / Q000601:surgery; D012371:Robotics / Q000295:instrumentation