Post Op Problems - What are all these staples?

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BuiDoi
Regular Member


Date Joined Aug 2010
Total Posts : 227
   Posted 9/3/2010 10:17 PM (GMT -7)   
After my "open-Cut" surgery, and just before removal of the Catheter , I had a Cystourethrogram, in order to see how many leaks there were in the old bladder.
Whilst it showed, significant leaks, it also revealed a great many "Foreign Objects" left behind.
I can easily count three dozen such items, some of which look like small ring crimps, and a great many 1/2" long "Staples".
It is as though a box of staples was spilt during the operation and forgotten.
Needless to say, I get occasional twinges as I move or press areas where they are.
Again they look like 1/2" by 1/8" staples..   What are they used for..
and -- are these a function of "open-Cut" surgery, or are the same procedures used in DaVinci-Robot Surgery?
.
.

Full Bloods -- Nov 09 = PSA 5.0 @ 60yo - Absolutely NO symptoms
DRE-Non-Palpable
Jan-2010 - TRUS Bx DX - AdenoCarcinoma T1c - Geeson(3+3)=6 , 5 & 45% max., Left MidZone
Jun-2010- open-Cut RP- Nerve Sparing
Post Op. Gleeson(3+4)=7, 1.1cm3, Pos Margins, EPE (focal) Lateral Left
Margin-Involvement (extensive) Posterior , Grade3 x 8mm
+8week PSA <0.01 , Full-ED, Mild Incont.

Post Edited (PeterA) : 9/4/2010 3:59:48 AM (GMT-6)


Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 598
   Posted 9/3/2010 10:41 PM (GMT -7)   
My guess is that you are seeing various hemostatic (ligating) vascular clips. They're used to close off blood vessels during surgery. Just a guess. These are often left inside, intentionally, as they are designed to be inert in the body. They usually don't cause any problems even if you have an MRI, as they should be made of nonferrous material like tantalum or titanium. Once in a while, though, you hear from people who have them migrate to the interior of the bladder and cause a lot of trouble and have to be removed.

The clips are used in both Da Vinci and open surgeries. I believe the extent of their use would vary from patient to patient and surgeon to surgeon.

I don't know if the number you see is unusual.

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4136
   Posted 9/4/2010 3:57 AM (GMT -7)   
The staples and probably everything else left behind are made out of titanium. Everything should be fine unless you get unlucky like me and your body trys to reject them....

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5967
   Posted 9/4/2010 8:03 AM (GMT -7)   
I saw these first when they were doing my pre-IGRT scans. Talked to my Uro/surgeon, who explained the use of then to tie off and hold away the vessels that had been cut.
I had DaVinci, and perhaps that explains why there seem to be a lot less than you mention.

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4454
   Posted 9/4/2010 8:08 AM (GMT -7)   
I saw mine from the open RRP when a chiropractor xrayed me. Looked exactly like a box of staples had been spilled.

142, now that you mention it, did you ask your Radiation guy what, if any, danger there was from these clips re-radiating or bouncing rays off the target and into other areas---you know- the ricochet effect?
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., margins clear GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, reoccurance?
ED continues: Bimix- .3ml or Trimix- .15ml

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5967
   Posted 9/4/2010 8:16 AM (GMT -7)   
James,
The radiation therapist looked at them with me. She assured me that it was normal, and allowed for in the radiation plan where required. I still have my doubts.

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 5424
   Posted 9/4/2010 10:26 AM (GMT -7)   
WOW!!
 
I never knew they left stuff behind. (I had robotic surgery -- so do I have a bunch of stuff left behind?)
 
Mel

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4454
   Posted 9/4/2010 11:07 AM (GMT -7)   
Mel, yep, probably. The techniques of clamping off vessels remains the same, just the invasion method is different, I suspect.

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 3672
   Posted 9/4/2010 12:09 PM (GMT -7)   
I must say guys I never knew this. The things we learn here.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
Only issue at this time is ED

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5967
   Posted 9/4/2010 5:28 PM (GMT -7)   
I realized there was something "else" there when we were looking at my pre-IGRT scan. I was looking for my 3 Calypso markers, and was counting "bright spots" - When the count made it to 4, I started asking questions.
May not have really wanted to know the answer. Oh well, too late to play dumb and happy now.

BuiDoi
Regular Member


Date Joined Aug 2010
Total Posts : 227
   Posted 9/4/2010 9:57 PM (GMT -7)   

Thank God, they are non-ferrous. smilewinkgrin

Were they 'Ferrous" - can't you just see yourself, next time you had an MRI.

You would be thrashing around in the mouth of the machine, just like the tourist in the jaws of "JAWS".

James C. said...     142, now that you mention it,
and I thought that my 36 odd were enough..
 
would you not think that they would have something better that would not have the pointy bits, to jab you when you twist, or bend or poke..  and remind you that we had a close-call !
 
Have they not heard of cable ties?
..
.

Full Bloods -- Nov 09 = PSA 5.0 @ 60yo - Absolutely NO symptoms
DRE-Non-Palpable
Jan-2010 - TRUS Bx DX - AdenoCarcinoma T1c - Geeson(3+3)=6 , 5 & 45% max., Left MidZone
Jun-2010- open-Cut RP- Nerve Sparing
Post Op. Gleeson(3+4)=7, 1.1cm3, Pos Margins, EPE (focal) Lateral Left
Margin-Involvement (extensive) Posterior , Grade3 x 8mm
+8week PSA <0.01 , Full-ED, Mild Incont.
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