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Published on: October 26, 2019
[Bursting pressure comparison between stapler and staple line reinforcement with sutures and butress biologic
Marcus Vinicius Dantas de Campos Martins1, James Skinovsky, Maurício Chibata
1Universidade Positivo, Curitiba, PR, Brasil. mvdantas@hotmail.com
Background:
Staple line leaks carry significant morbidity and mortality. Reinforcement is controversial. Several staple techniques have been described for this purpose. Oversuture and butressing material are more common.
Aim:
To compare these two ways of reinforcement and staple line without any reinforcement regarding the bursting pressure.
Method:
Ten segments of small bowel were created in a pig under general anesthesia. The bowel was inflatted until burst point and the pressure was measured.
Results:
The staple line bursting pressure was 94 mmHg +/- 18,52mmHg in the stapler technique; 87,5 mmHg +/- 18,59mmHg in the oversuture and 83,33 mmHg +/- 23,04mmHg with Surgisis®. There was no statistic difference among the techniques.
Conclusions:
Oversuture or Surgisis® use did not increase the staple line resistance in pig.
