Nerve Pain Due to Hemoclips

Nerve Pain Due to Hemoclips

Without speaking to women or checking up on them when I have not heard from them in a while when I knew they had serious issues I would not be able to learn about many any of the things that happen to women, nor pass it along to you so that you can find out why you are still having issues beyond normal healing and nerve pain. So when I reached out to one woman to check on her I was surprised at what I learned.

This woman I knew had gone for her mesh removal surgery well over a year ago and has lived in terrible pain in her lower back ever since but did not know why. The area of her serious pain was in the sacrum and from the moment she woke up after surgery she knew she was in trouble and told the surgeon where her pain was coming from. He told her it would heal and she would be fine and suggested pain management. If you don’t know where that region is this will show you

In the past I have tried to warn women that not all mesh removal surgeries are equal nor all doctors and because of that you have to find a surgeon who really has huge experience removing the mesh no matter the type and where it is. The following is the type of mesh surgery I am speaking of and the awful results that mesh can cause before it is removed. You should also know it is very difficult to remove. Hers was the sacral colpopexy mesh.

This particular type of surgery using mesh has a high risk of erosion and you should always know exactly what type of surgery and mesh you have before you choose a surgeon and ask many questions before surgery based on those facts. This will explain about a different woman’s case with mesh erosion.

Prolene mesh migration into the rectum after sacral colpopexy presented with frozen pelvis

Pelvic organ prolapse (POP) is a common gynecological problem. Repair with synthetic materials such as prolene mesh has become a popular approach in prolapsus surgery. Migration of synthetic materials can cause serious complications.

PRESENTATION OF CASE

A 69-year-old woman was admitted to the hospital with a complaint of sensation of fullness and a feeling of a foreign material protruding during defecation. The patient underwent exploratory laparotomy. Prolene mesh was detected in sacral region but resection of the mesh could not be conducted because of dense adhesions causing frozen pelvis. The migrated prolene mesh was resected transanally.

DISCUSSION

Genital prolapse or genital hernia is described as the protrusion of pelvic organs along the vagina. It is one of the common gynecological conditions that affect the quality of life in women. Mesh migration is a well-known clinical pathology.

CONCLUSION

Mesh migration is a serious complication after sacral colpopexy. Surgical resection of migrated mesh can be difficult due to dense adhesions.

Too many women are told to go to pain management without the surgeon finding out why a woman is in so much pain after her surgery and personally I feel telling a woman to go for pain management means the surgeon is no longer interested in her pain or the end results of her surgery. So she suffered for a long time before she found a doctor who would trace what was going on in her back. She mortgaged her house to see him and he did surgery recently which has relieved some of her pain but he warned her she may need more surgery. What was causing her pain was cysts and where the cyst was, he found nine horseshoe shaped and one straight Hemoclip. She had no clue what hemoclips were and neither did I but because so many women are having pain after their removal surgery I decided to learn more.

I first Googled Hemoclip images and was quite shocked to learn there are many types and many tools and they are used in many kinds of surgeries. Without knowledge we are powerless and often live in terrible pain but have no understanding of why.

The reason I write blogs is to give women a chance to discover why they live in so much pain and find out why after mesh removal they still struggle. I do want women to know that mesh removal is really hard on your body and pain is normal but in time you should do better. If however you are living with huge pain then the first thing you should do is get your hospital operative report to find out exactly what was done during your surgery. I did wonder if hemolips or endoclips are considered implants because anything foreign should be. Yes the are and you can find out more here

We all know that everything used in your surgery in this country will be billed to you so if you cannot find anything on your operative report, look at your bill and if not there and you still wonder, call your insurance company to find out. What has surprised me is that I cannot find any surgery written about where more than four hemoclips were used, so I think the amount used in her surgery is of concern. I did find an operative report on line and it states when hemoclips were used in someone else’s surgery. Read here

As always I reach out to people who understand far more than I do and asked about hemoclips and extreme pain. I was told that they do remain in the body and should not give so much pain unless the nerves are involved.

This will explain more about these clips.

Surgical staples are specialized implants used in surgery in place of sutures and are commonly used to close skin wounds, as well as to connect or remove anatomic areas such as the bowels or lungs [1]. The use of staples is often preferred because it is considered to be faster than suturing by hand and tends to be more accurate and consistent, while creating less tissue trauma [1]. In skin closure, particularly those where aesthetics are not of great concern (e.g., the scalp), the use of skin staples is an increasingly common alternative [1]. Staples are also used in surgery to join tissues, especially to achieve anastomosis of tubular structures including the gastrointestinal tract and vasculature.

As the number of surgical procedures increase, there is a need to develop more efficient techniques and user-friendly tools that address the increasing time constraints and issues of patient satisfaction [2]. One of the issues for vascular procedures has been the labor intensive and time-consuming process of achieving hemostasis [2]. Vascular closure devices have been demonstrated to reduce time to hemostasis and potentially decrease the length of hospital stay [2]. As such, vascular clips have increasingly been used surgically for their hemostatic features.

Skin closure staples and vessel hemostatic or ligation clips are typically made from non-absorbable materials such as stainless steel, cobalt chromium, nitinol, tantalum, titanium or metallic alloys [1,2], although some of these surgical implants may be made from nonmetallic, non-conducting materials and are absorbable. These surgical implants are available in a wide variety of shapes and sizes and selected according to their intended use (e.g., bone, vessel, bowel, lung, or skin) [1,2].

Metallic implants potentially pose hazards or problems for patients referred to magnetic resonance imaging (MRI) [211]. To ensure patient safety, in vitro test methods are utilized to characterize various MRI issues for a given implant or device [312]. Over the years, a variety of staples and vessel ligation clips have been evaluated for magnetic field interactions, heating, and artifacts [36,811]. While most of these implants were reported to be acceptable for patients undergoing MRI up to and including 3-Tesla or less, some clips deployed endoscopically and made from ferromagnetic stainless steel (e.g., the Resolution Clip, Boston Scientific Corporation) were found to be unsafe for patients [8].

In consideration of the information above, the purpose of our investigation was to assess MRI issues (i.e., magnetic field interactions, MRI-related heating, and artifacts) at 3-Tesla for a skin closure staple and a hemostatic clip. This link will explain more about MRI’s when you have these implants

I don’t want women to assume hemoclips were used in their surgery but if you are searching for answers for your extreme pain, then start reviewing your bill and your operative report. I do know we all need to understand exactly what was used at the time of our surgery if we are having serious pain issues. This woman did go to a nerve and back specialist recently and chose well so if you feel you have any issues due to hempclips make sure you ask a lot of questions before you commit to any surgeon or surgery.

5 Responses

  1. beth
    | Reply

    linda, i swear i learn something new everyday i look to see if you have posted a new blog…. you know i have a lot of pain. bad.. i just pulled one of my ct scans with /without contrast of and/pelvis, guess what it says!!?!?

    POSTSURGICAL CLIPS ARE PRESENT IN THE LEFT.. left what? i don’t know. thats what it says on my report.. Could this make my pain worse? i don’t know. strange though. i never knew clips were being used, or being left.

    I bet i am a total mess down there.

    thank you so much. Hopefully Dr.Raz can tell me about this. you are SO HELPFUL!!!

    • lavalinda
      | Reply

      They use them for many kinds of surgeries and the best way is to ask the type and why they were used. Then ask if it could be causing your nerve pain and what kind of test to take to find out.

  2. Anne
    | Reply

    I have surgical clips left from lumpectomy and node biopsy. I have been in pain for over two and a half years. Recently my pain worsened and it is thought my surgical clips may be the cause. A physiatrist told me this but I can’t find a surgeon to remove them. I’m now going to get allergy tested for metal allergy. I’m in misery and debilitating pain daily. My quality of life is terrible. I’m praying some surgeon will take my case. I never asked for these clips and when I first had pain two yrs ago my surgeon just sent me to physical therapy which made things worse. It took this long for someone to suggest clips could be causing pain. I will save this article for my docs. Thank you.

    • Kim
      | Reply

      I have been suffering with left pain in my left pelvic area for years. There are clips left there from a previous surgery. I can’t find a doctor who will remove them. Anne, did you find a doctor that removed yours?

      • Linda
        | Reply

        Kim if it is pelvic related, perhaps the doctors at the UCLA urologists can remove them. Get a consult appointment with Dr. Kim and see what she thinks. I am sure you have had tests you could take with you.

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