Bioabsorbable staple-line reinforcement to reduce staple-line bleeding in the transection of mesenteric vessels during laparoscopic colorectal resection: a pilot study

Abstract

This small pilot study has shown the routine use of BSG mesenteric staple line reinforcement to be safe, quick and effective during LARCC.

A comparison of gastrojejunal anastomoses with or without buttressing in a porcine model

“…Another reported benefit of staple-line buttressing using BSG is decreased bleeding [15,18]. While we did not objectively evaluate bleeding in this study, each pig underwent upper endoscopy, and we evaluated the integrity of gastrojejunal anastomosis for hemorrhage.…”

“…Several staple-line buttresses have been used to minimize these complications, with favorable results [12][13][14][15][16][17][18][19].…”

Buttressing Staples with Cholecyst-derived Extracellular Matrix (CEM) Reinforces Staple Lines in an Ex Vivo Peristaltic Inflation Model

“…Examples of clinically available buttress reinforcement materials are bovine pericardium (Peri-strips ® ), [15][16][17][18][19] expanded-polytetrafluoroethylene (ePTFE ® ), 18,20 polyglycolic acid (PGA)-trimethylene carbonate (TMC) copolymer (Gore Seamgaurd ® ) 21,22 and small intestinal submucosa (Surgisis ® ) [23][24][25][26] . These products have demonstrated some success in reducing leakage and bleeding complications associated with staple lines.…”

Use of staple-line reinforcement in laparoscopic gastric bypass surgery: a meta-analysis

“…To reduce the anastomosis-related leak and bleeding, the effectiveness of staple-line reinforcements in various surgical disciplines, such as lung resections [17] and mesenteric vessel hemostasis in colorectal resections [18,19] have already been reported. However, in bariatric surgery there are only a few studies on this subject.…”