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Insertion of Flexible Neural Probes Using Rigid Stiffeners Attached with Biodissolvable Adhesive
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Secure overlap stapling using a linear stapler with bioabsorbable polyglycolic acid felt.

Masanori Naito1, Takeo Sato1, Takatoshi Nakamura1

  • 1Department of Surgery, Kitasato University, School of Medicine, Sagamihara, Japan.

Asian Journal of Endoscopic Surgery
|February 23, 2017
PubMed
Summary

The reinforced stapling device demonstrated superior complete staple formation compared to the standard device, reducing risks of gastrointestinal anastomosis complications. This improvement was observed across varying tissue thicknesses and staple-on-staple sites.

Keywords:
PGA feltstaplingsurgical stapler

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Area of Science:

  • Surgical Technology
  • Gastrointestinal Surgery
  • Biomaterials in Surgery

Background:

  • Postoperative anastomotic complications remain a concern despite available surgical techniques.
  • Automatic suturing devices are widely used but can lead to incomplete staple formation due to tissue variability or staple-on-staple sites.
  • Incomplete staple formation is linked to anastomotic failure and bleeding.

Purpose of the Study:

  • To compare the complete staple formation rates of two automatic suturing devices.
  • To evaluate the impact of tissue thickness and staple-on-staple sites on staple formation.
  • To determine if a reinforced stapling device improves staple formation compared to a non-reinforced device.

Main Methods:

  • The iDrive™ Ultra Powered Stapling System was utilized.
  • Two devices were tested: Endo GIA™ Reinforced Reload with Tri-Staple™ Technology (with Neoveil™ reinforcement) and Endo GIA™ with Tri-Staple™ Technology (without reinforcement).
  • A two-stage crossing approach was used to create staple-on-staple sites.

Main Results:

  • The reinforced device achieved 99.3% complete staple formation in stomach tissue and 100% in colon tissue.
  • The non-reinforced device achieved 95.6% complete staple formation in both stomach and colon tissues.
  • Higher complete staple formation rates were observed with the reinforced device, regardless of tissue thickness.

Conclusions:

  • The Endo GIA™ Reinforced Reload with Tri-Staple™ Technology significantly enhances complete staple formation.
  • Reinforcement material in stapling devices is effective in overcoming challenges posed by tissue thickness and staple-on-staple sites.
  • This technology holds promise for reducing postoperative anastomotic complications.