Laparoscopic Appendectomy: Hemostatic Clips and Their Impact - Surgery

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Laparoscopic appendectomy


Hello, Dr.
Wang.
After undergoing laparoscopic appendectomy, will there be any hemostatic clips left inside the body? How many will be left? What impact will this have on the body in the future?

Bǐdé, 30~39 year old female. Ask Date: 2010/01/06

Dr. Wang Zhitang reply Surgery


Hello Peter: The use of hemostatic clips during laparoscopic appendectomy can vary depending on the habits of each surgeon and the equipment available at the hospital.
Some surgeons may choose not to use hemostatic clips during laparoscopic appendectomy, opting instead for devices such as tissue sealers or harmonic scalpels for hemostasis.
However, other surgeons may prefer to use hemostatic clips for convenience.
The number of hemostatic clips used will depend on the situation, typically ranging from 2 to 3, but rarely exceeding 5.
The clips are made of titanium, and adverse reactions from the human body to them are quite rare, so there is no need for concern!

Reply Date: 2010/01/06

More Info


After undergoing a laparoscopic appendectomy, it is common for surgeons to use hemostatic clips to control bleeding during the procedure. These clips are typically made of titanium or other biocompatible materials and are designed to remain in the body permanently. The use of these clips is a standard practice in laparoscopic surgeries, including appendectomies, and they play a crucial role in ensuring that any small blood vessels are securely clamped to prevent excessive bleeding.

To address your specific questions:
1. Will there be hemostatic clips left in the body after laparoscopic appendectomy?
Yes, it is standard practice to leave hemostatic clips in place after the surgery. The number of clips used can vary depending on the complexity of the surgery and the amount of bleeding that needs to be controlled. Typically, a few clips may be placed, but this can range from one to several, depending on the surgical findings.

2. What are the implications of having these clips in the body?
Generally, hemostatic clips are considered safe and do not cause any long-term issues. They are made from materials that are compatible with human tissue, meaning they should not provoke an immune response or cause any adverse reactions. Most patients do not experience any complications related to these clips. However, in rare cases, some individuals may experience discomfort or irritation at the site of the clips, but this is not common.

3. Are there any long-term effects or risks associated with having hemostatic clips?
For the vast majority of patients, there are no significant long-term effects associated with having hemostatic clips in the body. They are designed to be inert and should not interfere with bodily functions or imaging studies, such as X-rays or MRIs. However, if you experience unusual symptoms, such as persistent pain, swelling, or signs of infection, it is essential to consult your healthcare provider for further evaluation.

4. What should I do if I have concerns about the clips?
If you have ongoing concerns about the clips or if you experience any unusual symptoms post-surgery, it is advisable to discuss these with your surgeon or healthcare provider. They can provide reassurance, conduct any necessary examinations, and address any specific worries you may have.

In conclusion, while hemostatic clips are a common and safe part of laparoscopic appendectomy procedures, it is essential to maintain open communication with your healthcare provider regarding any concerns you may have. They can provide personalized advice based on your medical history and the specifics of your surgery. Always remember that your health and comfort are paramount, and seeking clarification from your medical team is a proactive step in your recovery process.

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