Staplers Flashcards
What are staplers?
A very elegant weapon for a more civilized age.
What is a GIA stapler?
Gastrointestinal anastomosis
What is an ILA stapler?
Intraluminal anastomosis
What is a TA stapler?
Thoracoabdominal
What is an LDS stapler?
Ligating-dividing stapler
What is an EEA stapler?
End to end anastomosis
What does the number in the stapler name mean?
The length of the staple line in millimeters
What 4 types of stapler have a cutting section?
GIA
ILA
LDS
EEA
What 2 staplers can you use for a bowel resection and anastomosis?
GIA
ILA
When performing an intestinal anastomosis with a stapler, what do you do to ensure there is no dehisence?
Place a “good night stitch” by sutuing the beginning and end of the incision.
Describe the steps given in lecture for performing a bowel resection and side-to-side anastomosis.
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.
What type of stapler can you use for some organ resection surgeries?
TA stapler
What 2 staplers can you use to perform an end-to-end anastomosis?
TA
EEA
How do you perform an end-to-end anastomosis with a TA stapler?
Staple 3 lines and remove excess tissue.
What 2 staplers would you use together to perform a functional end-to-end anastamosis?
ILA
TA
How do you perform a functional end-to-end anastomosis using an ILA and TA stapler?
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.
What 2 staplers could you use to perform a jejunocecostomy?
GIA
ILA
What kind of stapler would you use to perform a colon resection in a horse?
TA
NOTE: You can get some large animal staplers, but they can be tricky to find.
How do you perform an end-to-end anastomosis using an EEA stapler?
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.
