Where did all the Titanium ligating clips go after the polypectomy
  2022/04/12| View:677
What are Titanium ligating clips?

Titanium ligating clips are tools used for ligation during surgery. Titanium ligating clips are reasonably designed and generally do not move around after ligation with Titanium ligating clips. Titanium ligating clips are safe and reliable for the human body and must be used in some surgeries, but some people feel uncomfortable with titanium clips in their bodies, so do they need to be removed after surgery?


Titanium ligating clips


With the continuous progress of endoscopic minimally invasive technology, endoscopic submucosal resection (ESD), transoral endoscopic myotomy (POEM) and endoscopic transmucosal tunnel tumor resection (STER) and other cutting-edge endoscopic treatments have been carried out rapidly and matured in large numbers in a short period of time. Titanium clips play a very important role in these treatments, but also almost always in tissue closure and hemostasis, so the clips are generally referred to as hemostatic clips or Titanium ligating clips.

In what cases are Titanium ligating clips used?

1、Polypectomy: In polypectomy, it is mainly used on long-tip (Ip, Isp type). Titanium clips on the tip can block the nourishing vessels of the polyp, which can prevent the risk of bleeding after long-tip or subtip polypectomy.

2. Closure of ESD trauma: For larger ESD trauma, trauma closure is generally not performed, but for smaller ESD trauma with delayed risk, titanium clips need to be applied to close the trauma, which is mainly to prevent the complications of delayed bleeding and delayed perforation of ESD trauma. For ESD wounds that are too large and still need to be closed, it is necessary to choose the application of titanium clip nylon rope method of closure.

3, ulcer with bleeding: for ulcer with bleeding in the upper gastrointestinal bleeding, such as ulcer bleeding at the gastric angle, gastric sinus, etc., if the area is not large is possible to directly use titanium clamps for wound closure, while the larger area of ulcer bleeding (exposed blood vessels) can be selected on both sides of the bleeding foci are clamped to achieve the purpose of hemostasis.

4, Dieulafoy's disease bleeding: because the bleeding rate of Duchenne disease (Dieulafoy's disease) is relatively fast but the lesion is relatively hidden or relatively small, so it is still generally preferred to use titanium clamps directly to stop the bleeding, which is also a very effective way to treat Duchenne disease. Unless endoscopic hemostasis fails and requires surgical management, most Dupuytren's disease can still be successfully hemostated endoscopically.

5. POEM, STER, EFR and NOTES: These are the emerging and popular cutting-edge endoscopic treatment techniques in recent years. titanium ligating clips are mainly used for wound closure for these techniques, while for POEM, STER and EFR, the closure process is simply clamping, and the clips are properly positioned and The clamps should be properly positioned, forceful, and of moderate density. Most of the regular wounds can be closed by titanium clips with the effect of surgical interrupted sutures. In contrast, NOTES is an active perforation, and its closure requires suturing of both the mucosal and muscular layers, so the closure of NOTES is relatively more difficult. It requires more care and patience to achieve a double layer closure to form a "staggered" sequence of Titanium ligating clips. This technique does not seem to have been reported on a large scale yet.

6、Assisted localization: For small lesions such as small progressive gastric cancer that cannot be accurately localized during surgery, titanium clips can be applied under direct vision to mark 1-2 titanium clips in the lesion, so that the surgeon can easily find the lesion site during surgery and thus successfully complete the surgery.


ligaclip titanium


7, perforation of the titanium clip treatment: for the workload of the larger units in terms of perforation of the digestive tract has been not a few, the treatment method is not the previous send surgery open. Endoscopic treatment is mainly based on the simple closure of Titanium ligating clips, which can still achieve a relatively good closure effect, while a larger area of the wound or perforated surface requires titanium clips nylon rope method to complete.

Do I need to remove Titanium ligating clips after surgery?

Titanium ligating clips are relatively small and will not affect the body. They can be absorbed slowly through the tissue.

Can I have an MRI after Titanium ligating clips?
Medical Titanium ligating clips are either pure titanium or titanium alloy, but the general alloy has a small amount of zinc and iron added. So whether it is pure titanium or titanium alloy there is no interference with the MRI machine. So its magnetic properties are negligible.