Hemostatic Clips in Appendectomy: Titanium vs. Silver - Surgery

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Hemostatic agents for appendectomy?


I apologize for the interruption! Dr.
Hou mentioned that appendicitis was treated with laparoscopic surgery, and that the hemostatic clip left inside is made of titanium.
However, when I followed up with the original physician, he stated that the hemostatic clip is made of silver.
He reassured me that as long as I can eat and have bowel movements, it is fine even if I occasionally experience abdominal pain or if my child sits on my abdomen while playing.
I am now more concerned about the differing materials mentioned by the two doctors, and I worry that I might not be aware of any inflammation or other issues.
How can I be more proactive in protecting myself?

myfamily, 30~39 year old female. Ask Date: 2003/10/28

Dr. Hou Yongji reply Surgery


Hello: Currently, medical devices are designed to save lives, and regardless of the materials used, they are primarily made of biocompatible metals.
This means that the likelihood of triggering inflammation in the human body is very low.
Therefore, whether it is titanium or silver, as long as the devices are manufactured by qualified companies, there should be no issues.
Please do not worry.
If you experience any discomfort, it is advisable to consult a physician as soon as possible and inform them of your medical history (for example, if you have had appendicitis and underwent laparoscopic surgery, etc.), as this is the best form of protection.
Dr.
Hou Yong-ji

Reply Date: 2003/10/28

More Info


When it comes to the use of hemostatic clips in laparoscopic appendectomy, the choice of material—whether titanium or silver—can indeed raise concerns, especially when different medical professionals provide conflicting information. Understanding the properties of these materials, their implications for health, and how to monitor your recovery is crucial.

Material Properties and Uses:
1. Titanium Hemostatic Clips: Titanium is widely used in surgical applications due to its biocompatibility, strength, and resistance to corrosion. It is non-reactive with body tissues, which minimizes the risk of inflammation or allergic reactions. Titanium clips are commonly used in various surgical procedures, including appendectomies, to control bleeding effectively.

2. Silver Hemostatic Clips: Silver has antimicrobial properties, which can help reduce the risk of infection. However, it is less commonly used than titanium for hemostatic clips due to concerns about potential tissue reactions and the long-term stability of silver in the body. Silver clips may be more prone to corrosion over time, which could lead to complications.

Monitoring Recovery:
Regardless of the material used, it is essential to monitor your recovery closely. Here are some signs and symptoms to watch for:
- Pain: While some discomfort is expected after surgery, increasing pain, especially if it becomes severe or is localized, could indicate complications such as infection or abscess formation.

- Fever: A fever may suggest an infection, particularly if it is accompanied by other symptoms like chills or sweating.

- Swelling or Redness: Any significant swelling, redness, or warmth around the surgical site could indicate inflammation or infection.

- Changes in Bowel Habits: Since the surgery involves the appendix, any significant changes in bowel habits, such as persistent diarrhea or constipation, should be reported to your physician.

- Nausea or Vomiting: These symptoms can indicate complications and should be evaluated by a healthcare professional.

Communication with Healthcare Providers:
If you have concerns about the materials used in your surgery, it is essential to communicate openly with your healthcare providers. You can ask for clarification regarding the type of clips used and their implications. If you feel uncertain about the information provided by different doctors, consider seeking a second opinion or asking for a referral to a specialist who can provide more insight.

Self-Care and Precautions:
To protect yourself during recovery, consider the following self-care tips:
- Follow Post-Operative Instructions: Adhere to any guidelines provided by your surgeon regarding activity levels, wound care, and dietary restrictions.

- Stay Hydrated and Nourished: Proper nutrition and hydration can support healing.

- Limit Physical Activity: Avoid strenuous activities or heavy lifting until cleared by your physician.

- Keep Follow-Up Appointments: Regular check-ups can help monitor your recovery and catch any potential issues early.

In conclusion, while the material of hemostatic clips may differ, the most important aspect is how your body responds post-surgery. By staying vigilant about your symptoms and maintaining open communication with your healthcare providers, you can ensure a smoother recovery process. If you experience any concerning symptoms, do not hesitate to seek medical attention promptly.

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