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Abstract
Complications arising in the intraoperative and postoperative period were assessed
over a 2-year period in 132 patients in whom gastrointestinal operations had been
performed using the TA-type or GIA-type stapling devices. Specific complications are
described and their relationship to the staple-suture technique is evaluated. Bleeding
from the anastomotic line is believed to be a complication directly attributable to
the technique. Technical errors in the use of the device, as well as mechanical malfunction,
can contribute to morbidity or mortality. Methods for avoiding staple-related complications
are suggested. The history of stapling instruments is reviewed briefly.
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References
- Bleeding from stapler anastomosis.Am J Surg. 1976; 131: 745
- Elective replacement of the oesophagus.Br J Surg. 1966; 53: 59
- Enteroanastomosis with an automatic instrument.Surgery. 1966; 59: 270
- Technics of staple suturing in the gastrointestinal tract.Ann Surg. 1972; 175: 815
- Closure of duodenal, gastric and intestinal stumps with wire staples: Experimental and clinical studies.Ann Surg. 1966; 163: 573
- Studies in intestinal healing. III. Observations on everting intestinal anastomoses.Ann Surg. 1967; 166: 670
- Mechanical sutures in surgery.Br J Surg. 1973; 60: 191
Article info
Footnotes
☆Presented at the Thirty-fourth Annual Meeting of the Central Surgical Association, Buffalo, N. Y., March 3–5 1977.
Identification
Copyright
© 1977 Published by Elsevier Inc.
