Ureteric Injury due to the Use of LigaSure
Background. LigaSure is a bipolar clamping device used in open and laparoscopic surgeries for producing haemostasis in vascular pedicles up to 7 mm in diameter (“Covidien LigaSure technology: consistent, reliable, trusted vessel sealing,” 2012). The use of...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2013-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2013/989524 |
| Summary: | Background. LigaSure is a bipolar clamping device used in open and laparoscopic
surgeries for producing haemostasis in vascular pedicles up to 7 mm in diameter (“Covidien LigaSure technology: consistent, reliable, trusted vessel sealing,” 2012).
The use of LigaSure has made securing haemostasis and tissue dissection relatively easy especially in
laparoscopic surgery; however, if not used with care it can cause damage to the surrounding structures through lateral spread of energy.
Case Report. This case report discusses the induction of a thermal ureteral injury
associated with the use of LigaSure. An 80-year-old gentleman was operated for bowel cancer.
LigaSure was used for securing haemostasis and tissue dissection. Postoperatively,
he was found to have damage to the right ureter secondary to lateral spread of energy from
the jaws of LigaSure with high abdominal drain output. Conclusion. Judicious and careful use of
electrosurgical devices should be done to prevent inadvertent damage to the surrounding structures.
Early recognition and involvement of a urologist can prevent long-term complications. |
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| ISSN: | 2090-696X 2090-6978 |