286

TIPS & TRICKS FOR "GRAB AND DRAG" CLIP THAT FACILITATES WOUND CLOSURE

Date
May 18, 2024

ESD and EMR of large sessile polyps in the right colon results in mucosal defects that, in some cases, cannot be closed with standard clips. OTS clips are not suitable for large wounds and suture linked tack systems are hard to use and not widely used. A new clip is available that can be closed partially such that it can grasp one wound edge and drag it to the opposite side after which the clip is reopened, the free leg planted on the opposite wound edge and the clip fired. An understanding of the clip is needed and a learning curve needs to be traversed prior to use. This video explains how the clip is best used and also provides tips and key information regarding its use.

Tracks

Related Products

Thumbnail for RIGHT POSTERIOR BILE DUCT INJURY RECONSTRUCTION WITH ROBOTIC RY HEPATICOJEJUNOSTOMY
RIGHT POSTERIOR BILE DUCT INJURY RECONSTRUCTION WITH ROBOTIC RY HEPATICOJEJUNOSTOMY
Right posterior bile duct injury with disconnected duct syndrome creates diagnostic challenges for many endoscopists and radiologists. The diagnosis and treatment are often delayed…
Thumbnail for THE PERFECT STORM: LAPAROSCOPIC TRANSCHOLEDOCHAL BILE DUCT EXPLORATION FOR BILE DUCT BEZOAR IN ADVANCED CIRRHOSIS WITH PORTAL HYPERTENSION
THE PERFECT STORM: LAPAROSCOPIC TRANSCHOLEDOCHAL BILE DUCT EXPLORATION FOR BILE DUCT BEZOAR IN ADVANCED CIRRHOSIS WITH PORTAL HYPERTENSION
Transcholedochal laparoscopic bile duct exploration is a challenging procedure. Advanced cirrhosis with portal hypertension is associated with unique set of challenges not limited to increased risk of bleeding and fragile liver…
Thumbnail for SUTURE LINKED 4 TACK WOUND CLOSURE SYSTEM: INSERTION TIPS AND PITFALLS
SUTURE LINKED 4 TACK WOUND CLOSURE SYSTEM: INSERTION TIPS AND PITFALLS
Closing large mucosal defects after ESD and EMR removal of large sessile adenomas in the proximal colon can be a challenge using standard endoscopic clips. OTSC clips and the overstitch device are not an option for large right colon defects…
Thumbnail for DISEASE RESPONSE AND SCLEROTIC LOSS OF DOMAIN AFTER 8 PIPAC (PRESSURIZED INTRA-PERITONEAL AEROSOL CHEMOTHERAPY) TREATMENTS: A CASE REPORT.
DISEASE RESPONSE AND SCLEROTIC LOSS OF DOMAIN AFTER 8 PIPAC (PRESSURIZED INTRA-PERITONEAL AEROSOL CHEMOTHERAPY) TREATMENTS: A CASE REPORT.
A 63-year-old male with peritoneal metastases from appendiceal cancer underwent 8 PIPAC treatments in a US Phase 1 trial. Results initially showed reduced CEA levels and tumor size…