Intestinal anastomosis with a skin stapler: A safe and efficient method in humans

Fraser, Ian

doi:10.1002/bjs.1800810511

Cited by 16 publications

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“…Clinically, this technique resulted in good healing without increased complication rates . Skin staples have been evaluated for use in intestinal surgery in pigs, dogs, people, and in horses…”

Section: Discussionmentioning

confidence: 99%

Biomechanical comparison of four technique for pelvic flexure enterotomy closure in horses

2013

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Objective To compare 4 techniques for pelvic flexure enterotomy closure in horses. Study Design Ex‐vivo study. Sample Population Cadaveric ascending colon specimens (n = 48 horses). Methods Pelvic flexure enterotomies of different lengths (5 cm, 10 cm) were performed and closed with 1 of 4 techniques: handsewn 2 layer (HS2); handsewn 1 layer (HS1); skin staples (SKS); or TA90 stapling device (TA90). Time to close each enterotomy, bursting pressure, luminal reduction, and cost were calculated and compared. Results HS2 was significantly more time consuming to perform in the 5 cm group whereas in the 10 cm group, only the HS1 and SKS were faster than the other techniques. Luminal reduction was not different between techniques in either group. HS2 resulted in consistently higher bursting pressure compared with SKS and TA90 in the 5 cm group and compared to all other techniques in the 10 cm group. Conclusion The TA90 technique had the lowest bursting pressure and highest cost. The HS2 technique was strongest.

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Section: Discussionmentioning

confidence: 99%

Biomechanical comparison of four technique for pelvic flexure enterotomy closure in horses

2013

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Section: Introductionmentioning

confidence: 99%

“…Colonic skin stapled one layer end‐to‐end anastomosis for the treatment of firearm injuries was first introduced into human medicine by military surgeons (Fraser ). Subsequent studies have documented that skin staplers provide rapid and effective construction of intestinal anastomosis (Fraser ; Edwards and Galbraith ). End‐to‐end jejunojejunal anastomosis is a common procedure in equine abdominal surgery and various techniques for constructing small intestine anastomosis have been developed including 1‐ and 2‐layer handsewn (Latimer et al .…”

Section: Introductionmentioning

confidence: 99%

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Clinical evaluation of a jejunojejunal end‐to‐end anastomosis with skin staples with or without coverage by a mesenteric flap

Gandini

Giusto

2015

Equine Veterinary Education

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Summary This study describes a novel end‐to‐end‐jejunojejunal‐anastomotic technique using skin staples following resection of compromised small intestine. Five horses were referred with colic and underwent exploratory laparotomy, resection and anastomosis. No long‐term complications were recorded at 12 months. This safe and effective technique may be used in equine gastrointestinal surgery.

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“…Bowel obstruction represents an emergency situation in which, especially in the case of elderly patients, we need safe and uncomplicated surgical technique [2]. Although there is a trend towards primary anastomoses even in these patients [1,6], Hartmann's discontinuity resection has to be considered a valid alternative [16,17]. The advantage of avoiding a risky primary anastomosis is counterbalanced by the need for a second laparotomy to restore continuity.…”

Section: Introductionmentioning

confidence: 99%

The anastomotic stoma: a useful procedure in emergency bowel surgery

Länge

Fernández

Friedrich

et al. 1996

Langenbecks Arch Chir

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In emergency surgery of the bowel a primary anastomosis may be risky. Discontinuing colostomies have the disadvantage that a secondary laparotomy is necessary to restore continuity. If sufficient bowel loop mobilization is possible, we prefer to perform an anastomotic stoma. After resection of the diseased bowel segment, we bring the proximal and distal loop together and proceed to the anastomosis of the posterior wall. The anterior wall of the anastomosis remains open and is then fixed to the abdominal wall as a stoma. So far, we have used this method in 91 patients. In 73 cases this technique was performed during emergency operations. No patient died as a result of complications of the method: 21 patients, however, died as a consequence of their primary disease. Bowel continuity could be restored in 78 cases. The anastomotic stoma protects the posterior wall from elevated pressure and allows daily control of the anastomosis. In the case of extraperitoneal closure, a secondary laparotomy for reconstruction of the continuity is not necessary. The anastomotic stoma can be performed in most regions of the small and large bowel.

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Intestinal anastomosis with a skin stapler: A safe and efficient method in humans

Cited by 16 publications

References 0 publications

Biomechanical comparison of four technique for pelvic flexure enterotomy closure in horses

Biomechanical comparison of four technique for pelvic flexure enterotomy closure in horses

Clinical evaluation of a jejunojejunal end‐to‐end anastomosis with skin staples with or without coverage by a mesenteric flap

The anastomotic stoma: a useful procedure in emergency bowel surgery

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