Gastric Surgery with Surgical Stapling Instruments

Surgical Stapling Devices in Veterinary Medicine: A Review

“…Instruments with rotating and articulating heads ease staple application in difficult‐to‐reach areas 4 . In animals, TA staplers have been used for ovarian pedicle, vaginal, and uterine stump closure; partial or complete lung lobectomy; removal of right atrial appendage tumors; cyst resection; typhlectomy; esophageal resection; partial splenectomy, nephrectomy, prostatectomy, or pancreatectomy; partial or complete hepatic lobectomy; end‐to‐end intestinal anastomosis; closure of Heinecke–Mikulicz pyloroplasty; repair of rectal tears; and closure of gastrointestinal and urinary bladder incisions 2,5–27 . I have also used TA staplers for transanal removal of rectal polyps in dogs.…”

Facilitation of Soft Tissue Surgery

“…[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Recent results suggest that the TA stapler is an efficient and safe method of vascular occlusion and tumor resection. Despite the need for further ancillary occlusion methods in some cases, its use is becoming the standard of care for many procedures in dogs and cats.…”

“…5 Indications for this stapling instrument include partial gastrectomy, pyloroplasy, typhlectomy, gastropexy, cholecystoenterostomy, prostatic cyst resection, lung lobectomy, liver lobectomy, esophageal and rectal diverticulum removal, and rectal polyp resection. [4][5][6][7][8][9][10][11][12][13][14][15]26,27 Use of the stapler with these indications requires slight modifications in technique and should be reviewed before use.…”

“…[4][5][6] Common locations and indications for usage of the EEA stapler in small animal surgery include colorectal/colonic, esophageal, and end-to-side gastroduodenostomy and gastroesophageal surgeries. 4,7,10,[15][16][17][18] Ligate-divide staple stapler…”

Sutures and general surgical implants

“…25 The GIA (Covidien) or Proximate Linear Cutter (Ethicon) stapler deploys two staggered rows of staples and sections between them. In addition to reducing anesthetic and operating times, the risk of contamination of the abdominal cavity may be decreased significantly.…”