Misfired stapler.Clip applier.Ethicon.Ref # (b)(4).The surgeon used this 4-5 times without any problem.A misfire occurred and it severed the vessel.The stapler was fired again and it clipped the vessel.No less than 5 unnamed, large veins were identified and ligated.The facial vein was one of the vessels which was ligated in this area.The facial vein was ligated at its takeoff point from the internal jugular vein.Several medium clips were placed across this area and a stick tie was also placed underneath the clips to ensure hemostasis.
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