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Sutures v staples in the gastrointestinal tract
White RN.
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Surgical stapling devices are commonly used in small animal veterinary surgery for pulmonary, gastrointestinal, vascular and skin procedures (Pavletic 1990, Pavletic and Schwartz 1994, Schwartz 1994, Tobias 2007). Potential benefits of surgical stapling are stated to include the reduction in surgical time, tissue trauma and intraoperative contamination, and the preservation of tissue vascular supply. This lecture will review the pros and cons of surgical stapling devices compared to traditional hand-sewn suturing for gastrointestinal tract surgery in the dog and cat.
Stapling devices
A number of commercially available surgical staplers have been used for the closure, resection and anastomosis of the gastrointestinal tract in small animals. These devices include skin staplers, linear (thoraco-abdominal (TA)) staplers, linear cutter (gastro-intestinal anastomosis (GIA)) staplers and end-to-end anastomosis (EEA) staplers. The skin staplers, linear (TA) staplers, linear cutter (GIA) staplers, EEA staplers are available in various sizes (both width and height of ‘fired’ staples). Both the linear (TA) staplers and linear cutter (GIA) staplers are also available as endoscopic versions.
What have these stapling devices been used for?
Skin staplers - intestinal anastomosis, enterotomy and gastrotomy closure, and belt-loop gastropexy
Linear (TA) staplers – end-to-end bowel anastomosis, oesophageal resection, partial gastrectomy, closure of Heineck-Mikulicz pyloroplasty, closure of gastrointestinal incisions, typhlectomy and trans-anal removal of rectal tumours. [...]
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