Closure of Duodenal, Gastric and Intestinal Stumps with Wire Staples

Ravitch, Mark M.; Lane, Richard J.; Cornell, William P.; Rivarola, Alejandro; Mcenany, Terence

doi:10.1097/00000658-196604000-00010

Cited by 48 publications

(9 citation statements)

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“…Despite great success at the time, use of the device was abandoned because of its drawbacks: excessive weight and complexity of use. 4,5 Based on studies by Ravitch et al in 1966, 7 US companies entered the market, offering lighter staplers of more modern design, as this procedure (mechanical sutures with Russian staplers models), offered more security than others previously had. Shortly thereafter, disposable cartridge systems with various applications were developed.…”

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confidence: 99%

“…Thus, the devices themselves could be used more than once by changing only the refill unit, which could contain staples of different sizes. [6][7][8] The benefits of the use of staplers were much appreciated, which led to further research and the development of multipurpose devices. Mechanical sutures are more quickly created than manual sutures.…”

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confidence: 99%

“…This reduces operating time, which is very important for clinically severe patients undergoing surgery. 3,7,9 Another advantage of using mechanical sutures is in the case of anastomoses, or in unfavorable anatomical locations for manual sutures, such as in cases of low rectal and esophageal anastomoses, or in obese patients. The cost of using a stapler is high, and its indication should be based on the real advantages of its use.…”

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confidence: 99%

“…11 Likewise, the literature shows no significant differences in the onset of complications and shows that the use of staplers is effective and safe. [1][2][3][6][7][8]11 Objective To compare the safety and efficacy, from the point of view of anatomic pathology, between different models of staplers and manual sutures in the performance of anastomosis in swine.…”

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confidence: 99%

“…Mechanical sutures are quicker than manual sutures, which reduces operating time; this is very important for clinically severe patients undergoing surgery. 3,7,9 Another advantage to their use is in the case of anastomoses in unfavorable anatomical locations for manual sutures, such as in cases of low rectal anastomoses, esophageal anastomoses, or in obese patients.…”

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Randomized clinical trial comparing manual suture and different models of mechanical suture in the mimicking of bariatric surgery in swine

Batista¹,

Fernandes²,

Pereira³

et al. 2014

OAS

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Context and objective:Variations in the ability of surgeons served as motivation for the development of devices that, overcoming individual differences, allow the techniques to be properly performed, and of which the end result was the best possible. Every technique must be reproduced reliably by the majority of surgeons for their results to be adopted and recognized as effective. The aim of this study was to compare the results, from the point of view of anatomic pathology, of manual sutures versus mechanical sutures using different models of linear mechanical staplers, in the procedure of gastroenteroanastomosis and enteroanastomosis in swine. Methods: Thirty-six healthy, adult, male Sus scrofa domesticus pigs, weighing between 20.7 and 25.5 kg, were used. The swine were randomly divided into four groups of nine pigs, according to the type of suture employed: group A, manual suture with Polysorb the seventh postoperative day for histopathological analysis, and the degree of inflammation, fibrosis, and newly formed vessels, as well as the presence or absence of granulation tissue, foreign body granuloma, and necrosis were all evaluated qualitatively and semiquantitatively. The results were analyzed statistically. Results:Observations during the histopathological analysis included the formation of foreign body granuloma in the gastroenteroanastomosis and enteroanastomosis in 88.9% of the swine that underwent manual suture and in none of the swine that underwent stapling. There was also a significant statistical difference among swine from Group A, and those from groups B, C and D regarding the degree of inflammation, being more intense in those swine that underwent manual suture. Conclusion: This study shows that both types of suture promoted proper healing of gastroenteroanastomosis and enteroanastomosis, although there was a higher degree of inflammation and an increased occurrence of foreign body granuloma in swine subjected to manual suture, although there have been similarities in safety, efficiency, and effectiveness between the models of linear mechanical staplers tested during the performance of these anastomoses on swine.

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