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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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☆Presented at the Thirty-fourth Annual Meeting of the Central Surgical Association, Buffalo, N. Y., March 3–5 1977.
© 1977 Published by Elsevier Inc.