Clips

Basic instruments for haemostasis are clip-applicators for titanium and resorbable clips, which can be used like a ligature to close blood vessels. Clips seal blood vessels by mechanical compression and pose little risk to surrounding tissues when accurately applied. Prior to the application of clips, the vessel must be precisely prepared and clearly identified. Clips may, however, slip or become

Fig. 1 Suture ligation during laparoscopic surgery. A 4-0 Prolene with an SH needle is used for bleeding control within the omentum major.

Fig. 1 Suture ligation during laparoscopic surgery. A 4-0 Prolene with an SH needle is used for bleeding control within the omentum major.

detached and necessitate leaving non-absorbable foreign material within the patient. During surgery, the clips may be dislodged because of tissue manipulation. To overcome this problem, plastic clips have been developed with toothed grasping surface and locking device. In addition, clips can hinder the use of devices, such as, endoscopic

Fig. 2 The picture shows the application of laparoscopic clips for haemostasis during laparoscopic cholecystectomy.

linear staplers because of their bulk.2 Clip application, however, represents one of the most effective tools to achieve haemostasis (Fig. 2).

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