Staplers

Question 1

What are staplers?

Answer 1

A very elegant weapon for a more civilized age.

Question 2

What is a GIA stapler?

Answer 2

Gastrointestinal anastomosis

Question 3

What is an ILA stapler?

Answer 3

Intraluminal anastomosis

Question 4

What is a TA stapler?

Answer 4

Thoracoabdominal

Question 5

What is an LDS stapler?

Answer 5

Ligating-dividing stapler

Question 6

What is an EEA stapler?

Answer 6

End to end anastomosis

Question 7

What does the number in the stapler name mean?

Answer 7

The length of the staple line in millimeters

Question 8

What 4 types of stapler have a cutting section?

Answer 8

GIA
ILA
LDS
EEA

Question 9

What 2 staplers can you use for a bowel resection and anastomosis?

Answer 9

GIA

ILA

Question 10

When performing an intestinal anastomosis with a stapler, what do you do to ensure there is no dehisence?

Answer 10

Place a “good night stitch” by sutuing the beginning and end of the incision.

Question 11

Describe the steps given in lecture for performing a bowel resection and side-to-side anastomosis.

Answer 11

GIA to resect the offending bowel, then create two stab incisions to insert the ILA stapler. Perform your “good night stitch” and then close the stab incisions with a TA stapler.

Question 12

What type of stapler can you use for some organ resection surgeries?

Answer 12

TA stapler

Question 13

What 2 staplers can you use to perform an end-to-end anastomosis?

Answer 13

TA

EEA

Question 14

How do you perform an end-to-end anastomosis with a TA stapler?

Answer 14

Staple 3 lines and remove excess tissue.

Question 15

What 2 staplers would you use together to perform a functional end-to-end anastamosis?

Answer 15

ILA

TA

Question 16

How do you perform a functional end-to-end anastomosis using an ILA and TA stapler?

Answer 16

Clamp section of bowel to be removed and make stab incisions in the part of bowel that will be kept. Insert and apply ILA stapler. Use TA stapler to divide between good and bad bowel, and cut away the bad bowel with a scalpel.

Question 17

What 2 staplers could you use to perform a jejunocecostomy?

Answer 17

GIA

ILA

Question 18

What kind of stapler would you use to perform a colon resection in a horse?

Answer 18

TA

NOTE: You can get some large animal staplers, but they can be tricky to find.

Question 19

How do you perform an end-to-end anastomosis using an EEA stapler?

Answer 19

Create purse string suture on one end of bowel, and insert EEA stapler through a pilot hole on the other section of bowel. Put the ends together and pull the trigger, then remove the EEA stapler and use a TA stapler to close the pilot hole.