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Staple Line Failure Using the Proximate® 100 mm Linear Cutter
PURPOSE: An incomplete linear staple line that was discovered during the stapling of an ileal pouch alerted us to evaluate potential usage concerns with linear cutters. This study was designed to assess the integrity of the staple line of three different sizes of linear staplers. METHODS: In an anim...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2491405/ https://www.ncbi.nlm.nih.gov/pubmed/18523825 http://dx.doi.org/10.1007/s10350-008-9305-5 |
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author | Wind, J. Safiruddin, F. van Berge Henegouwen, M. I. Slors, J. F. M. Bemelman, W. A. |
author_facet | Wind, J. Safiruddin, F. van Berge Henegouwen, M. I. Slors, J. F. M. Bemelman, W. A. |
author_sort | Wind, J. |
collection | PubMed |
description | PURPOSE: An incomplete linear staple line that was discovered during the stapling of an ileal pouch alerted us to evaluate potential usage concerns with linear cutters. This study was designed to assess the integrity of the staple line of three different sizes of linear staplers. METHODS: In an animal model three different lengths of linear cutters (Proximate®, Ethicon Endo-Surgery) were used to cross-staple and transect the large bowel of one pig to check for the integrity of the proximal end of the staple line. RESULTS: Cross-stapling and transecting across the pig’s large bowel demonstrated that if the tissue is advanced up to the highest number on the scale of the 100 mm stapling device, insufficient overlap between the proximal end of the staple line and the proximal end of the cut line occur. CONCLUSIONS: Although a more than 100 mm staple line is delivered, the 100 mm cutter may not produce a double-staggered row of staples at the most proximal end of the staple line if the tissue is advanced past the 9.5 cm mark. Ethicon Endo-Surgery has agreed to add indicator markers to the scale label on the instrument to provide the user with additional guidance for tissue placement. |
format | Text |
id | pubmed-2491405 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-24914052008-07-30 Staple Line Failure Using the Proximate® 100 mm Linear Cutter Wind, J. Safiruddin, F. van Berge Henegouwen, M. I. Slors, J. F. M. Bemelman, W. A. Dis Colon Rectum Original Contribution PURPOSE: An incomplete linear staple line that was discovered during the stapling of an ileal pouch alerted us to evaluate potential usage concerns with linear cutters. This study was designed to assess the integrity of the staple line of three different sizes of linear staplers. METHODS: In an animal model three different lengths of linear cutters (Proximate®, Ethicon Endo-Surgery) were used to cross-staple and transect the large bowel of one pig to check for the integrity of the proximal end of the staple line. RESULTS: Cross-stapling and transecting across the pig’s large bowel demonstrated that if the tissue is advanced up to the highest number on the scale of the 100 mm stapling device, insufficient overlap between the proximal end of the staple line and the proximal end of the cut line occur. CONCLUSIONS: Although a more than 100 mm staple line is delivered, the 100 mm cutter may not produce a double-staggered row of staples at the most proximal end of the staple line if the tissue is advanced past the 9.5 cm mark. Ethicon Endo-Surgery has agreed to add indicator markers to the scale label on the instrument to provide the user with additional guidance for tissue placement. Springer-Verlag 2008-06-04 2008 /pmc/articles/PMC2491405/ /pubmed/18523825 http://dx.doi.org/10.1007/s10350-008-9305-5 Text en © The Author(s) 2008 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Original Contribution Wind, J. Safiruddin, F. van Berge Henegouwen, M. I. Slors, J. F. M. Bemelman, W. A. Staple Line Failure Using the Proximate® 100 mm Linear Cutter |
title | Staple Line Failure Using the Proximate® 100 mm Linear Cutter |
title_full | Staple Line Failure Using the Proximate® 100 mm Linear Cutter |
title_fullStr | Staple Line Failure Using the Proximate® 100 mm Linear Cutter |
title_full_unstemmed | Staple Line Failure Using the Proximate® 100 mm Linear Cutter |
title_short | Staple Line Failure Using the Proximate® 100 mm Linear Cutter |
title_sort | staple line failure using the proximate® 100 mm linear cutter |
topic | Original Contribution |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2491405/ https://www.ncbi.nlm.nih.gov/pubmed/18523825 http://dx.doi.org/10.1007/s10350-008-9305-5 |
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