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Experience with the EEA stapling device

T K Shahinian, J R Bowen, B A Dorman

    American Journal of Surgery
    |April 1, 1980
    PubMed
    Summary
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    The EEA stapling instrument facilitated 48 gastrointestinal anastomoses with no operative deaths. While one colorectal anastomosis leaked and two abscesses occurred, the instrument proved secure for esophageal and colorectal procedures.

    Area of Science:

    • Gastrointestinal Surgery
    • Surgical Instrumentation
    • Anastomotic Techniques

    Background:

    • Anastomosis creation in gastrointestinal surgery, particularly colorectal and esophageal procedures, can be technically challenging and associated with significant morbidity.
    • The development of specialized surgical instruments aims to improve the safety and efficacy of these anastomoses.

    Purpose of the Study:

    • To evaluate the safety and efficacy of the EEA stapling instrument in performing various gastrointestinal anastomoses.
    • To assess the incidence of complications associated with EEA stapler use in a series of surgical cases.

    Main Methods:

    • Retrospective review of 48 gastrointestinal anastomoses performed using the EEA stapling instrument.
    • Analysis of operative outcomes, including mortality, anastomotic leaks, intra-abdominal abscesses, bleeding, and strictures.

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    Main Results:

    • No operative mortality was observed in 48 anastomoses.
    • One leak occurred in 29 colorectal anastomoses (3.4%); two intra-abdominal abscesses were noted.
    • No leaks occurred in 12 esophageal anastomoses; minor bleeding and transient fecal soilage were managed conservatively.

    Conclusions:

    • The EEA stapling instrument is a valuable tool for gastrointestinal surgery, offering improved facility and security for colorectal and esophageal anastomoses.
    • Despite a low rate of complications, the instrument demonstrates a favorable safety profile for complex anastomotic procedures.