301:(everted) in respect to digestive (inverted) stumps, the main basic reason could be that, particularly for small vessels, the manuality and precision required just for positioning on vascular stumps and actioning any device cannot be significantly inferior to that required to carry out the standard hand suture, then making of little utility the use of any device. An exception to that however could be organ transplantation where these two phases, i.e.device positioning at the vascular stumps and device actioning, can be carried out in different time, by different surgical team, in safe conditions when the time required does not influence donor organ preservation, i.e. at the back table in cold ischemia condition for the donor organ and after native organ removal in the recipient. This is finalized to make as brief as possible the donor organ dangerous warm ischemia phase that can be contained in the couple of minutes or less necessary just to connect the device's ends and actioning the stapler.
25:
82:
333:
that is sufficiently narrow and thin to insert under the skin staple. The active part is a small blade that, when hand-pressure is exerted, pushes the staple down through a slot in the shoe, deforming the staple into an 'M' shape to facilitate its removal. In an emergency it is possible to remove staples with a pair of artery forceps. Skin staple removers are manufactured in many shapes and forms, some disposable and some reusable.
236:
289:
224:
211:, compressing the edges of the wound and closing blood vessels during the stapling process. Recent studies have shown that with current suturing techniques there is no significant difference in outcome between hand sutured and mechanical anastomoses (including clips), but mechanical anastomoses are significantly quicker to perform.
292:
Vascular stapler for reducing warm ischemia in organ transplantation. With this model each stapler end can be mounted on donor and recipient by independent surgical teams without care for reciprocal orientation, being the maximal possible vascular axis torsion ≤30°. Activating guide-wire is connected
332:
Where skin staples are used to seal a skin wound it will be necessary to remove the staples after an appropriate healing period, usually between 5 and 10 days, depending on the location of the wound and other factors. The skin staple remover is a small manual device which consists of a shoe or plate
191:
has been widely studied. It is generally the case in such studies that sutured anastomoses are either comparable or less prone to leakage. It is possible that this is the result of recent advances in suture technology, along with increasingly risk-conscious surgical practice. Certainly modern
300:
While devices for circular end-to-end anastomosis of digestive tract are widely used, in spite of intensive research circular staplers for vascular anastomosis never had yet significant impact on standard hand (Carrel) suture technique. Apart from the different modality of coupling of vascular
650:
Guedes, Rogério
Luizari; Höglund, Odd Viking; Brum, Juliana Sperotto; Borg, Niklas; Dornbusch, Peterson Triches (3 January 2018). "Resorbable Self-Locking Implant for Lung Lobectomy Through Video-Assisted Thoracoscopic Surgery: First Live Animal Application".
93:
280:
and anastomosis in a single operation. Staplers are used to close both internal and skin wounds. Skin staples are usually applied using a disposable stapler, and removed with a specialized staple remover. Staplers are also used in
772:
Nazari S et al. A new vascular stapler for pulmonary artery anastomosis in experimental single lung trasnplantation.Video, Proceedings of the 4th Annual
Meeting of The Association for Cardio-Thoracic Surgery, Naples, Sept 16-19,
214:
In patients that are subjected to pulmonary resections where lung tissue is sealed with staplers, there is often postoperative air leakage. Alternative techniques to seal lung tissue are currently investigated.
524:
696:"Comparison of manual and mechanical cervical esophagogastric anastomosis after esophageal resection for squamous cell carcinoma: a prospective randomized controlled trial"
250:
Modern surgical staplers are either disposable and made of plastic, or reusable and made of stainless steel. Both types are generally loaded using disposable cartridges.
269:, different instruments are used for each application. Laparoscopic staplers are longer, thinner, and may be articulated to allow for access from a restricted number of
899:
152:
The technology was refined in the 1950s in the Soviet Union, allowing for the first commercially produced re-usable stapling devices for creation of bowel and
421:
Chughtai, T.; Chen, L. Q.; Salasidis, G.; Nguyen, D.; Tchervenkov, C.; Morin, J. F. (November 2000). "Clips versus suture technique: is there a difference?".
1344:
168:
in 1964 to manufacture surgical staplers under its Auto Suture brand. Until the late 1970s USSC had the market essentially to itself, but in 1977
137:
A more recent development, from the 1990s, uses clips instead of staples for some applications; this does not require the staple to penetrate.
320:
scanners, although some imaging artifacts may result. Synthetic absorbable (bioabsorbable) staples are also now becoming available, based on
511:
282:
46:
361:
Iavazzo, Christos; Gkegkes, Ioannis D.; Vouloumanou, Evridiki K.; Mamais, Ioannis; Peppas, George; Falagas, Matthew E. (September 2011).
342:
892:
165:
68:
783:
134:. The use of staples over sutures reduces the local inflammatory response, width of the wound, and time it takes to close.
1339:
1329:
885:
746:
Kolesov VI, Kolesov EV (1991). "Twenty years' results with internal thoracic artery-coronary artery anastomosis". Letter.
176:
brand entered the market and today both are widely used, along with competitors from the Far East. USSC was bought by
160:
brought a sample of stapling device after attending a surgical conference in USSR, and introduced it to entrepreneur
39:
33:
1354:
727:
Kolesov VI, Kolesov EV, Gurevich IY, Leosko VA (1970). "Vasosuturing apparatuses in surgery of coronary arteries".
317:
149:. Hultl's prototype stapler of 1908 weighed 8 pounds (3.6 kg), and required two hours to assemble and load.
564:"Stapled Versus Hand-Sewn Anastomoses in Emergency Intestinal Surgery: Results of a Prospective Randomized Study"
50:
1349:
472:
363:"Sutures versus staples for the management of surgical wounds: a meta-analysis of randomized controlled trials"
96:
1017:
153:
294:
1221:
609:
Venuta, F; Rendina, EA; De
Giacomo, T; Flaishman, I; Guarino, E; Ciccone, AM; Ricci, C (April 1998).
562:
Catena, Fausto; Donna, Michele La; Gagliardi, Stefano; Avanzolini, Andrea; Taffurelli, Mario (2004).
266:
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81:
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1213:
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676:
591:
400:
525:"Stapled versus Sutured Gastrointestinal Anastomoses in the Trauma Patient: A Multicenter Trial"
253:
The staple line may be straight, curved or circular. Circular staplers are used for end-to-end
1298:
1293:
991:
963:
865:
828:
755:
694:
Hsu, Hsao-Hsun; Chen, Jin-Shing; Huang, Pei-Ming; Lee, Jang-Ming; Lee, Yung-Chie (June 2004).
668:
632:
583:
544:
494:
438:
430:
392:
384:
321:
107:
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is more often used in some skin staples and clips. Titanium produces less reaction with the
1303:
1144:
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Shifrin, E.G.; Moore, W.S.; Bell, P.R.F.; Kolvenbach, R.; Daniline, E.I. (Apr 2007).
540:
489:
404:
235:
1172:
1111:
1032:
943:
680:
595:
173:
846:
Teoh, MK; Bird, DA (1 September 1987), "Removal of skin staples in an emergency",
207:
One key feature of intestinal staplers is that the edges of the stapler act as a
1198:
1134:
1119:
1007:
712:
254:
188:
145:
The technique was pioneered by "father of surgical stapling", Hungarian surgeon
123:
823:
806:
379:
362:
288:
916:
579:
563:
458:, British Journal of Surgery, 19 Feb 2003: Volume 90, Issue 3, Pages 261 - 271
92:
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223:
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305:
181:
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synthetic sutures are more predictable and less prone to infection than
1188:
1074:
1049:
1012:
948:
925:
877:
262:
111:
807:"Intravascular Stapler for "Open" Aortic Surgery: Preliminary Results"
1054:
316:
system and, being non-ferrous, does not interfere significantly with
313:
270:
193:
1242:
1022:
287:
234:
222:
201:
127:
91:
80:
1044:
784:"Evaluation of an aortic stapler for an open aortic anastomosis"
247:
with titanium staples loaded into reloadable staple cartridges.
197:
131:
119:
881:
18:
204:, which were the main suture materials used up to the 1990s.
611:"Technique to reduce air leaks after pulmonary lobectomy"
529:
Journal of Trauma-Injury
Infection & Critical Care
261:
or, somewhat more controversially, in esophagogastric
811:
European
Journal of Vascular and Endovascular Surgery
1281:
1251:
1230:
1212:
1181:
1153:
1110:
1067:
1000:
962:
924:
915:
748:The Journal of Thoracic and Cardiovascular Surgery
239:Close-up demonstration of a surgical skin stapler.
794:(5): 659–65. Oct 2007 – via Minerva Medica.
265:. The instruments may be used in either open or
187:Safety and patency of mechanical (stapled) bowel
473:"Circular vascular stapling in coronary surgery"
276:Some staplers incorporate a knife, to complete
788:The Journal of Cardiovascular Surgery (Torino)
466:
464:
893:
512:History of United States Surgical Corporation
324:, as with many synthetic absorbable sutures.
8:
85:34 surgical staples closing scalp following
700:European Journal of Cardio-Thoracic Surgery
615:European Journal of Cardio-Thoracic Surgery
304:Although most surgical staples are made of
243:The first commercial staplers were made of
16:Staples used in surgery in place of sutures
921:
900:
886:
878:
456:Non-suture methods of vascular anastomosis
859:
822:
711:
626:
488:
378:
285:(popularly known as "stomach stapling").
69:Learn how and when to remove this message
32:This article includes a list of general
353:
7:
416:
414:
283:vertical banded gastroplasty surgery
343:Instruments used in general surgery
471:Konstantinov, Igor E (July 2004).
423:The Canadian Journal of Cardiology
166:United States Surgical Corporation
38:it lacks sufficient corresponding
14:
541:10.1097/00005373-200112000-00005
490:10.1016/j.athoracsur.2003.11.050
23:
293:just immediately before firing
1345:1908 establishments in Hungary
477:The Annals of Thoracic Surgery
1:
628:10.1016/S1010-7940(98)00038-4
713:10.1016/j.ejcts.2004.02.026
1373:
824:10.1016/j.ejvs.2006.10.019
380:10.1177/000313481107700935
580:10.1007/s00595-003-2678-0
523:Brundage Susan I (2001).
665:10.1177/1553350617751293
328:Removal of skin staples
126:or remove parts of the
97:Projectional radiograph
53:more precise citations.
1154:Retracting and viewing
297:
240:
232:
219:Types and applications
180:in 1998, which became
100:
89:
291:
238:
226:
170:Johnson & Johnson
95:
84:
1340:Hungarian inventions
1330:Surgical instruments
1222:Yankauer suction tip
1182:Examination and prep
909:Surgical instruments
848:Ann R Coll Surg Engl
367:The American Surgeon
267:laparoscopic surgery
987:Metzenbaum scissors
653:Surgical Innovation
99:of surgical staples
1125:Aortic cross-clamp
298:
241:
233:
184:on June 29, 2007.
164:, who founded the
101:
90:
1355:1900s in medicine
1317:
1316:
1299:Periodontal probe
1294:Hypodermic needle
1063:
1062:
992:Tenotomy scissors
964:Surgical scissors
429:(11): 1403–1407.
322:polyglycolic acid
79:
78:
71:
1362:
1304:Surgical stapler
1145:Pennington clamp
972:Bandage scissors
954:Von Graefe knife
922:
902:
895:
888:
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873:
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843:
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836:
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795:
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770:
764:
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743:
737:
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718:
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706:(6): 1097–1101.
691:
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559:
553:
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535:(6): 1054–1061.
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468:
459:
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418:
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382:
373:(9): 1206–1221.
358:
106:are specialized
104:Surgical staples
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67:
63:
60:
54:
49:this article by
40:inline citations
27:
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1350:1908 in science
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1309:Surgical suture
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360:
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355:
351:
339:
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310:stainless steel
259:bowel resection
245:stainless steel
229:cholecystectomy
221:
178:Tyco Healthcare
158:Mark M. Ravitch
143:
75:
64:
58:
55:
45:Please help to
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24:
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1261:Surgical drain
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1168:
1166:Senn retractor
1157:
1155:
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1150:
1148:
1147:
1142:
1137:
1132:
1130:Foerster clamp
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754:(2): 360–361.
738:
719:
686:
659:(2): 158–164.
642:
601:
574:(2): 123–126.
554:
515:
504:
483:(1): 369–373.
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162:Leon C. Hirsch
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1266:Jackson-Pratt
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1003:
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985:
983:
982:Mayo scissors
980:
978:
977:Iris scissors
975:
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965:
961:
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842:
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830:
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817:(4): 408–11.
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568:Surgery Today
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227:Laparoscopic
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62:
52:
48:
42:
41:
35:
30:
21:
20:
1173:Rib spreader
944:Liston knife
854:(5): 222–4,
851:
847:
841:
814:
810:
800:
791:
787:
778:
768:
751:
747:
741:
732:
729:Med Tekhnika
728:
722:
703:
699:
689:
656:
652:
645:
621:(4): 361–4.
618:
614:
604:
571:
567:
557:
532:
528:
518:
507:
480:
476:
455:
451:
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331:
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213:
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186:
151:
144:
136:
114:in place of
103:
102:
65:
56:
37:
1231:Measurement
1199:Head mirror
1135:Gomco clamp
1120:Allis clamp
1090:Obstetrical
1008:Bone cutter
255:anastomosis
189:anastomoses
154:anastomeses
147:Hümér Hültl
51:introducing
1324:Categories
917:Dissecting
349:References
122:wounds or
87:craniotomy
59:April 2016
34:references
1335:Fasteners
1194:Endoscope
1161:Retractor
1102:Tenaculum
1040:Osteotome
1018:Dermatome
435:0828-282X
389:1555-9823
209:haemostat
118:to close
1289:Catheter
1253:Drainage
1238:Calipers
1204:Speculum
1140:Hemostat
1112:Clamping
1097:Hemostat
1068:Grasping
939:RF knife
833:17137806
673:29298608
588:14745611
549:11740250
499:15223474
443:11109037
405:40578006
397:21944632
337:See also
306:titanium
278:excision
182:Covidien
110:used in
1271:Penrose
1214:Suction
1189:Dilator
1085:Debakey
1080:Bulldog
1075:Forceps
1050:Rongeur
1028:Cranial
1013:Curette
926:Scalpel
870:3314634
861:2498551
760:1992247
735:: 24–8.
681:4965005
637:9641332
596:6386495
295:(video)
273:ports.
263:surgery
174:Ethicon
141:History
124:connect
116:sutures
112:surgery
108:staples
47:improve
1055:Trocar
1033:Dental
949:Lancet
934:Catlin
868:
858:
831:
758:
679:
671:
635:
594:
586:
547:
497:
441:
433:
403:
395:
387:
314:immune
271:trocar
257:after
194:catgut
128:bowels
36:, but
1282:Other
1243:Ruler
1023:Drill
1001:Other
677:S2CID
592:S2CID
401:S2CID
202:linen
132:lungs
1045:Rasp
866:PMID
829:PMID
773:1990
756:PMID
669:PMID
633:PMID
584:PMID
545:PMID
495:PMID
439:PMID
431:ISSN
393:PMID
385:ISSN
200:and
198:silk
120:skin
856:PMC
819:doi
752:101
708:doi
661:doi
623:doi
576:doi
537:doi
485:doi
375:doi
318:MRI
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130:or
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852:69
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