The use of disposable skin staples for intestinal resection and anastomosis in 63 dogs: 2000 to 2014

Abstract

In this retrospective study, the overall mortality and dehiscence rates using disposable skin staples were similar to previously reported outcomes following resection and anastomosis.

Disposable skin staplers for closure of linear gastrointestinal incisions in dogs

“…Cases were included if skin staplers had been used to close linear gastrointestinal incisions. Dogs undergoing intestinal anastomosis were excluded from this evaluation because they were included in a separate study . Dogs with additional gastrointestinal surgeries performed at least 3 weeks apart were included and considered to have undergone 2 separate, independent surgical events.…”

“…All gastrotomies were closed in 2 layers; the mucosa and submucosa layers were closed with a continuous pattern, monofilament absorbable sutures (polyglyconate [Maxon; Covidien], Glycomer 631 [Biosyn; Covidien] or polydioxanone [PDS, Ethicon Johnson & Johnson, Cornelia, Georgia]), and the seromuscular layers were closed with skin staplers in appositional fashion. The technique for closure of the enterotomies has been described previously . Two stay sutures are placed at the ends of the incision, and the assistant applies a slight traction, allowing the surgeon to apply the skin staples 3‐4 mm apart (Figure A‐C, Supporting Information Video).…”

“…The healing characteristics of gastrointestinal tissue closed with skin staples and sutures have been compared experimentally in dogs for linear gastrointestinal wounds and for end‐to‐end intestinal anastomosis . In these models, healing patterns of canine gastrointestinal tissues were similar between tissues closed with sutures and tissues closed with skin staplers . Another report described the clinical use of skin staplers for closure of linear gastrointestinal incisions in 3 dogs with linear foreign bodies …”

Intestinal surgery in small animals: historical foundations, current thinking, and future horizons

“…In vivo dog studies demonstrate that stapled anastomosis are performed more rapidly than hand‐sewn anastomosis with similar bursting strengths . Disposable staplers were used for intestinal anastomosis in 63 dogs in a recent clinical review, and there was a dehiscence rate of only 4.5% . Linear GI incisions were closed in 333 dogs, with a dehiscence rate of rate of only 1.2%.…”

“…44 Disposable staplers were used for intestinal anastomosis in 63 dogs in a recent clinical review, and there was a dehiscence rate of only 4.5%. 45 Linear GI incisions were closed in 333 dogs, with a dehiscence rate of rate of only 1.2%. However, the staples anchored a linear foreign body in two cases.…”