The Filshie Clip for Laparoscopic Adnexal Surgery

BACKGROUND Gynecologic endoscopic procedures are increasingly common and require the ability to control large vascular structures. METHOD The Filshie clip is a silicone-lined, titanium occlusive device, originally designed and Food and Drug Administration (FDA) approved for surgical contraception. This device also has the potential for occluding vascular structures during laparoscopic surgery. EXPERIENCE AND RESULTS We describe a salpingectomy, an excision of bilateral hydrosalpinges, and a salpingo-oopherectomy. We performed all procedures laparoscopically using this device as the primary modality for assuring hemostasis. CONCLUSION The Filshie clip is a useful and economical device for assuring hemostasis during gynecologic endoscopic surgery.