Stapling Devices and their Use in Surgery

The increasing use of mechanical sutures in urological surgery has highlighted some particular problems about the behaviour of the intestinal wall around the mechanical anastomosis. The Authors report on 160 bladder substitutions performed between April 1990 and April 1994. Histological and biological evaluation of intestinal repair and epithelisation show how the newly formed mucosa covers the steel stitches, isolating them from contact with the urine, so their potency to favour stone growth is very low. The particular shape and arrangement of stitches done with the GIA stapling device ensure a stronger and better vascularised suture than one done manually. In conclusion, the use of stapling devices in urological surgery offers the advantages of time saving and accuracy and safety of the sutures.

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Clip on Staple Method to Prevent Bile Leakage in Anatomical Liver Resection Using Stapling Devices

Anticancer Research ◽

10.21873/anticanres.13966 ◽

2019 ◽

Vol 40 (1) ◽

pp. 401-404

Author(s):

MIZUKI NINOMIYA ◽

TAKAHIRO TOMINO ◽

RUMI MATONO ◽

TAKASHI NISHIZAKI

Keyword(s):

Liver Resection ◽

Bile Leakage ◽

Stapling Devices ◽

Anatomical Liver Resection

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Biological behaviour of the bowel mucose in bladder substitution using stapler devices: A two years experience

Urologia Journal ◽

10.1177/039156039205901s20 ◽

1992 ◽

Vol 59 (1_suppl) ◽

pp. 62-64

Author(s):

G. Muto ◽

M. Moroni ◽

M. Ollino ◽

R. Bozzo

Keyword(s):

Urinary Diversion ◽

Intestinal Wall ◽

Biological Behaviour ◽

Stapling Devices ◽

Urological Surgery ◽

Biological Studies ◽

Bladder Substitution ◽

Stapler Devices ◽

Mechanical Anastomosis ◽

Intestinal Repair

The largest use of mechanical sutures in urological surgery for their undoubt advantages has pointed out some particular problems about the behavior of the intestinal wall at the level of the mechanical anastomosis. The Authors report a study performed on 45 urinary diversion (including 12 orthotopic ileal bladders). Histological and biological studies on intestinal repair and epitelization show how the neoformed mucosa overlaps the steel stitches, putting them far from the urine. In this way their potency to favour the growth of urinary stoned is very low. At least, the particular shape and disposition of the stitches shooted by GIA stapling devices makes the suture stronger and better vascularized than those performed manually with adsorbable materials.

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