Staplers Flashcards
Thoracoabdominal stapler: main uses in equine
-hemostasis of vascular pedicles -pelvic flexure enterotomy closure -blind end closure of ileal stump when you can’t access it to place Parker Kerr
skin staplers provide excellent edge eversion without strangulation when…
used in areas WITHOUT tension and if edges are held with FORCEPS
GIA stapler: number of rows
GI anastomosis stapler 4 staggered rows of B shaped staples with cutting blade in center used predominantly for jejunocecostomy in horses
why has ligating dividing stapler has been replaced by Ligasure (bipolar device)?
because more easily dislodged/lower arterial bursting pressure than Ligasure and sutures
which staple cartridge is predominantly used in LAs?
green (large staples)
ligating dividing stapler has been replaced by…
bipolar devices like the Ligasure
Thoracoabdominal stapler: # of rows
2 staggered rows of B shaped clamps
cons of staplers (3)
-only SIDE to SIDE anastomosis -lower bursting pressure than suture -expensive
use for endo-GIA stapler
laparoscopy
staples are usually made of…
stainless steel or titanium
cons of thoracoabdominal stapler
-no blade -everts mucosa -> can cause adhesions and abscess (oversweing NOT a solution)
green staple cartridge
LA staples
main use for GI stapler
GI anastomosis stapler 4 staggered rows of B shaped staples with cutting blade in center used predominantly for jejunocecostomy in horses
uses for surgical staplers in equine sx (3)
-intestinal resection and SIDE to SIDE anastomosis -vascular hemostasis -skin closure
Blue staple cartridge
small staples
true or false: skin staplers can only be used in areas without tension
true
pros of staplers (3)
-quick -preserves blood better -allows access to restricted areas
Parker Kerr
suture pattern using a cushing + lembert
