Use of 5-mm Staple in Neonatal Intestinal Surgery

Sedano, Jesús Vicente Redondo; Castro, Belén Aneiros; Alelu, Rubén Martín; Vázquez, Araceli García; Fraile, Andrés Gómez; Novillo, I. Cano

doi:10.1089/lap.2021.0181

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…Intestinal anastomosis is a basic technique to restore gut continuity. Several intestinal anastomosis techniques, including hand-sewn, stapled, laparoscopic, robotic, and sutureless anastomoses, are used with varied outcomes (1)(2)(3)(4)(5)(6)(7)(8). The hand-sewn intestinal anastomosis technique is divided into single-layer and double-layer suture techniques (9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Asymmetric figure-of-eight single-layer suture technique for intestinal anastomosis: A preliminary study

Liu

Zhang²,

Ren³

et al. 2023

Front. Surg.

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BackgroundAnastomotic leakage is a life-threatening complication. Improvement of the anastomosis technique is needed, especially in patients with an inflamed edematous intestine. The aim of our study was to evaluate the safety and efficacy of an asymmetric figure-of-eight single-layer suture technique for intestinal anastomosis in pediatric patients.MethodsA total of 23 patients underwent intestinal anastomosis at the Department of Pediatric Surgery of Binzhou Medical University Hospital. Demographic characteristics, laboratory parameters, anastomosis time, duration of nasogastric tube placement, day of first postoperative bowel movement, complications, and length of hospital stay were statistically analyzed. The follow-up was conducted for 3–6 months after discharge.ResultsPatients were divided into two groups: the single-layer asymmetric figure-of-eight suture technique (group 1) and the traditional suture technique (group 2). Body mass index in group 1 was lower than in group 2 (14.43 ± 3.23 vs. 19.38 ± 6.74; P = 0.036). The mean intestine anastomosis time in group 1 (18.83 ± 0.83 min) was less than that in group 2 (22.70 ± 4.11 min; P = 0.005). Patients in group 1 had an earlier first postoperative bowel movement (2.17 ± 0.72 vs. 2.80 ± 0.42; P = 0.023). The duration of nasogastric tube placement in group 1 was shorter than that in group 2 (4.12 ± 1.42 vs. 5.60 ± 1.57; P = 0.043). There was no significant difference in laboratory variables, complication occurrence, and length of hospital stay between the two groups.ConclusionThe asymmetric figure-of-eight single-layer suture technique for intestinal anastomosis was feasible and effective. More studies are needed to compare the novel technique with the traditional single-layer suture.

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Section: Introductionmentioning

confidence: 99%

Asymmetric figure-of-eight single-layer suture technique for intestinal anastomosis: A preliminary study

Liu

Zhang²,

Ren³

et al. 2023

Front. Surg.

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Literature review on the application of 5 mm endostaplers in pediatric endoscopic surgery

Rafe,

Ross

2023

J Ped Endosc Surg

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This non-systematic Pubmed review was performed to evaluate the use of 5 mm endostaplers in pediatric endoscopic surgery with results available in children aged between 1 day and 17 years. Three reports identified the use of the endostapler in bowel anastomosis, two in laparoscopic anorectoplasty and one in thoracoscopic resections of congenital lung malformations. Although the actual surgical application may be in larger number of patients, the number of published reports with regards to the application of the 5 mm endostapler in pediatric endoscopic procedures are limited and further reporting will provide better insights into further possible applications and outcomes.

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Use of 5-mm Staple in Neonatal Intestinal Surgery

Cited by 2 publications

References 12 publications

Asymmetric figure-of-eight single-layer suture technique for intestinal anastomosis: A preliminary study

Asymmetric figure-of-eight single-layer suture technique for intestinal anastomosis: A preliminary study

Literature review on the application of 5 mm endostaplers in pediatric endoscopic surgery

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