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Use of 5-mm Staple in Neonatal Intestinal Surgery.

Jesús Vicente Redondo Sedano1, Belén Aneiros Castro2, Rubén Martín Alelu1

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Mechanical stapling using a 5-mm staple is a safe and feasible method for intestinal anastomosis in pediatric patients. Careful patient selection based on bowel characteristics is essential for successful outcomes.

Keywords:
5-mm stapleintestinal anastomosismechanical anastomosisnewborn

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Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Intestinal anastomosis in children is increasingly performed using surgical staplers.
  • The 5-mm staple size is a common option for these procedures.

Purpose of the Study:

  • To evaluate the outcomes of pediatric patients undergoing intestinal anastomosis with a 5-mm staple.
  • To assess the safety and feasibility of this technique in a tertiary care setting.

Main Methods:

  • Retrospective review of pediatric patients who underwent intestinal anastomosis with a 5-mm staple between April 2017 and November 2019.
  • Functional end-to-end anastomosis technique was utilized.
  • Evaluation of 12 cases with a median follow-up of 26 months.

Main Results:

  • Small bowel anastomosis was the most common procedure (8 cases).
  • Stapling difficulties occurred in 3 patients, with one requiring conversion.
  • One case of postoperative bowel obstruction was reported and surgically treated.

Conclusions:

  • Mechanical suturing with a 5-mm staple is a safe and feasible alternative for intestinal anastomosis in neonates and infants.
  • Careful patient selection considering bowel characteristics is crucial for optimal results.