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At least 19 recordsLinked to original sources
PubMed1994

Surgical stapling of large intestines.

Surgical stapling instruments can be used to perform end-to-end anastomoses in the colon and rectum. A new method of colonic anastomosis is described for cats with acquired forms of megacolon. Alternative approaches for performing colonic anastomoses are described in humans and in large dogs which can be used for colonic resections of focal nature as well as for subtotal colectomy. Advantages and disadvantages of surgical stapling instruments in the large intestine are reviewed.

Anastomosis, Surgical↗
PubMedDate not supplied

Open intestinal anastomosis with surgical stapling equipment in 24 dogs and cats.

Surgical stapling equipment was used to perform open antiperistaltic side-to-side ("functional end-to-end") entero-anastomoses in 20 dogs and 4 cats. Twenty-one anastomoses healed uneventfully. Seven animals with severe bacterial peritonitis required open peritoneal drainage and delayed abdominal closure. There was postoperative leakage at the anastomotic site in two dogs and a localized abscess at the staple line in one cat. No long-term complications occurred in follow-up periods of 3 to 29 months.

Anastomosis, Surgical↗
PubMed2000

Surgical stapling technique for radical hysterectomy: survival, recurrence, and late complications.

OBJECTIVE: The aim of this study was to conduct a long-term follow-up of the surgical stapling technique of radical hysterectomy to determine survival, recurrence, and late complications. METHODS: One hundred consecutive eligible patients treated with the surgical stapling technique of radical hysterectomy were prospectively evaluated. RESULTS: Median operative time was 3.2 h. Median blood loss was 500 ml. There was an 18% acute postoperative complication rate and a 10% long-term complication rate. There was a 6% recurrence rate and a 92% disease-free survival. CONCLUSION: The surgical stapling technique of radical hysterectomy results in acceptable survival, recurrence, and complication rates, which appear similar to those of the traditional type of radical hysterectomy, while operative time and blood loss appear to be reduced.

Adult↗
PubMedDate not supplied

Choledochal cyst in a pediatric patient: creation of a bilijejunal anastomosis with surgical staples. A case report.

Although the use of surgical staples is a well established practice in intestinal tract surgery on adults, their role in biliodigestive anastomoses in adults and children has been more limited. The Authors describe a 12-year-old girl with a type-IV choledochal cyst, who was successfully treated with cyst excision and Roux-en-Y hepaticojejunostomy created with a surgical stapler.

Anastomosis, Roux-en-Y↗
PubMed1989

Evaluation of surgical staples in cesarean section.

Experience with Lactomer absorbable surgical staples (Auto Suture Poly CS 57 disposable surgical stapler) in 62 cesarean sections was compared with an equal number of operations performed with standard techniques. The technique of application of the stapler evolved with experience. Countertraction to staplers with Allis' clamps prevented uterine V incisions. Operative time was longer for the stapled suture group for primary cesarean sections, but was unchanged for repeat procedures. Excellent hemostasis of the uterine incision was achieved even when varicose sinusoidal veins were present. Significant reductions of hemoglobin deficits from 2.16 to 1.31 gm/dl, postoperative anemia from 29% to 6.4%, and endometritis from 22.5% to 6.4% occurred respectively in nonstapled and stapled groups. A reduced hospital stay, shortened by 2.1 days, saved each patient +F42950. Blood loss estimates by surgeons or anesthetists were often at variance. Surgeons' acceptance of the procedure grew with experience. On the basis of these results, use of absorbable staples offers certain advantages in reducing blood loss, infection, and hospital stay in cesarean deliveries.

Adult↗
PubMedDate not supplied

Subtotal colectomy with surgical stapling instruments via a trans-cecal approach for treatment of acquired megacolon in cats.

Surgical stapling equipment was used to perform an end-to-end colonic anastomosis in 15 cats for the treatment of acquired megacolon. An end-to-end stapling device was passed to the anastomotic site by a trans-cecal approach. Subsequent closure of the cecal incision was accomplished with a thoracoabdominal stapling device. Two cats had hemorrhagic episodes immediately after surgery that required blood transfusions. All 15 cats have had good to excellent health after subtotal colectomy and colocolostomy performed using this stapling technique. Results of this study have demonstrated that "single surgical field" placement of the end-to-end stapling device has the primary advantage of simplicity and a lower chance of contamination compared with (dual field) rectal passage of similar devices. Closure of the cecal access incision is easily performed without reducing the diameter of the large intestinal lumen. The stapling technique provided an efficient and consistent method for anastomosis of the large bowel in cats.

Anastomosis, Surgical↗
PubMed1997

Surgical staple trial in accident and emergency.

A trial was undertaken at the John Radcliffe Hospital, Oxford to establish if surgical staples were a viable alternative to traditional sutures in wound closure. The trial involved a sample of trained nursing staff using staples in the closure of simple skin lacerations presented at the Accident and Emergency (A & E) department. A questionnaire collected subjective and objective information from staff and patients relating to insertion and removal of the staples. Although there was no comparative data available for sutured wounds, the results indicated that staff were satisfied with the stapler's ease and speed of use. It was concluded that stapling was a viable addition to the choice of skin closure technique, rather than an alternative.

Adolescent↗
PubMed1991

Kidney stone formed around refluxed surgical staple and removed by transureteral endoscopic manipulation.

We present a case of a kidney stone that developed around a surgical staple which refluxed up to the kidney following a Bricker urinary diversion and bilateral ureteroileal anastomosis. A GIA stapler had been utilized to construct the ileal conduit. The stone was retrieved by means of flexible ureterorenoscopy through the ileal conduit. To our knowledge, this is the first report of such a complication following construction of an ileal conduit with a stapling device.

Adult↗
PubMed1990

Surgical stapling for repair of a rectal tear in a horse.

A grade-4 rectal tear in a mare was successfully repaired per rectum, using a surgical stapling device. The mare had only minor postoperative complications. This technique has some advantages over previously described procedures, but should be reserved for use in selected cases.

Animals↗
PubMed1999

Five-year follow-up of laparoscopic bladder neck suspension using synthetic mesh and surgical staples.

We report long-term follow-up of 40 patients who underwent a laparoscopic adaptation of the Burch procedure between May 1990 and December 1992. This procedure, in which synthetic mesh and surgical staples are used in place of sutures to effect the suspension, was previously described by the principal author and colleagues for use in the treatment of genuine stress urinary incontinence (J Laparoendosc Surg 1993;3:563-566). Minimum 5-year follow-up has been obtained for 34 of these patients either by office visit with the principal author (27 patients) or by telephone interview with the patient or the patient's primary-care physician (7 patients). Six patients were lost to follow-up, four after 1 year and two more after 3 years. None of these patients was leaking at last follow-up. This operation initially succeeded in resolving incontinence in 37 of 40 patients (93%). Of the three patients in whom the surgery failed initially, none chose further surgery, and all three were still leaking after 5 years of follow-up. One additional patient developed urgency incontinence 3 years postoperatively. The five-year success rate, defined as no recurrent leaking, was 88% (30 of 34 confirmed outcomes). This modification of the Burch procedure offers the advantages of the laparoscopic approach and affords an inherently shorter learning curve than that associated with laparoscopic suturing in the confined pelvic space.

Adult↗
PubMed1988

Evaluation of surgical staples for ligation of the renal pedicle during nephrectomy.

A mechanical stapling instrument was evaluated for ligation of the renal pedicle during nephrectomy in nine healthy sheep. Two forms of disposable loading unit, from which stainless steel surgical staples could be dispensed in double or triple staggered row configuration, were assessed for their proper function when applied across the renal pedicle singularly or in series. The response of the sheep to surgery was assessed by physical, hematological, and serum chemistry evaluations. Tissue healing was determined by gross and histopathological examinations. Ligation and transection of the pedicle took 2 to 4 minutes. The vessels of the pedicle ranged in diameter from 3 to 12 mm. In two sheep, overzealous stripping of perivascular tissue from the renal pedicle prior to placement of a triple staggered row of staples resulted in mild hemorrhage from the renal stump. This was controlled by placing a second triple staggered row of staples proximal to the first. It was concluded that ligation of the renal pedicle could be performed rapidly, effectively, and safely in healthy sheep using the correctly applied mechanical stapler. It is inferred that a similar technique would be applicable to other species including man.

Animals↗
PubMed1991

Urinary tract calculi that form on surgical staples: a characteristic radiologic appearance.

An autostapler is frequently used when bowel is interposed in the urinary tract during reconstructive urologic surgery in children. Usually the metallic staples are buried beneath the intestinal mucosa. However, if a portion of a staple is unintentionally left exposed or becomes exposed through migration and is then bathed by urine, it can become the nidus for formation of a calculus. The radiologic studies of 30 patients having surgery of this type in our hospital from 1980 to 1990 were reviewed prospectively, and stones were found to have developed on staples in eight patients. None of the patients had metabolic abnormalities. The stones were easily visible on plain radiographs because they were calcified. They formed in the lumen of the bladder or the bowel segment on the exposed portion of the staple. Thus, the staple was eccentric in the calculus and not central, as is usually the case with a stone forming on a foreign body. This experience suggests that stones forming on surgical staples during reconstructive urologic surgery have a characteristic radiologic appearance that may aid in their identification.

Adult↗
PubMed2001

Asymptomatic expectoration of surgical staples complicating lung volume reduction surgery.

Lung volume reduction surgery (LVRS) has recently been introduced as a palliative treatment for patients with severe emphysema. The most common postoperative complication is persistent air leak requiring prolonged tube thoracostomy. We describe a unique case of a patient with severe emphysema who underwent LVRS and presented, about a year later, with the repeated expectoration of surgical staples.

Cough↗