Technical characteristics can make the difference in a surgical linear stapler. or not?

Gaspare Gulotta, Gianfranco Cocorullo, Gaspare Gulotta, Marco Cavallini, Paola Addario Chieco, Valentina Giaccaglia, Maria Serena Antonelli, Gianfranco Cocorullo

Risultato della ricerca: Article

13 Citazioni (Scopus)

Abstract

Background Anastomotic leak (AL) after gastrointestinal surgery is a severe complication associated with relevant short- and long-term sequelae. Most of the anastomosis are currently performed with a surgical stapler that is required to have appropriate characteristics to guarantee good performances. The aim of our study was to evaluate, in the laboratory, pressure resistance and tensile strength of anastomosis performed with different surgical linear staplers, available in the market. Materials and methods We have been studying three linear staplers, with diverse cartridges and staple heights, of three different companies, used for gastrointestinal anastomosis and gastric or intestinal closure. We performed 50 anastomosis for each device, with the pertinent different cartridges, on fresh pig intestine, for a total of 350 anastomosis, then injected saline solution and recorded the pressure that provokes a leak on the staple line. There were no statistically significant differences between the mean pressure necessary to induce an AL in the various instruments (P > 0.05). For studying the tensile strength, we performed a total of 350 anastomosis with the different linear staplers on a special strong paper (Tyvek), then recorded the maximal tensile force that could open the anastomosis. Results There were no statistically significant differences between the different staplers about the strength necessary to open the staple line (P > 0.05). Conclusions we demonstrated that different linear staplers of three companies available in the market give comparable anastomotic pressure resistance and tensile strength. This might suggest that small dissimilarities between different devices are not involved, at least as major parameters, in AL etiology.
Lingua originaleEnglish
pagine (da-a)101-106
Numero di pagine6
RivistaJournal of Surgical Research
Volume197
Stato di pubblicazionePublished - 2015

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Surgical Staplers
Anastomotic Leak
Tensile Strength
Pressure
Equipment and Supplies
Sodium Chloride
Intestines
Stomach
Swine

All Science Journal Classification (ASJC) codes

  • Surgery

Cita questo

Gulotta, G., Cocorullo, G., Gulotta, G., Cavallini, M., Addario Chieco, P., Giaccaglia, V., ... Cocorullo, G. (2015). Technical characteristics can make the difference in a surgical linear stapler. or not? Journal of Surgical Research, 197, 101-106.

Technical characteristics can make the difference in a surgical linear stapler. or not? / Gulotta, Gaspare; Cocorullo, Gianfranco; Gulotta, Gaspare; Cavallini, Marco; Addario Chieco, Paola; Giaccaglia, Valentina; Antonelli, Maria Serena; Cocorullo, Gianfranco.

In: Journal of Surgical Research, Vol. 197, 2015, pag. 101-106.

Risultato della ricerca: Article

Gulotta, G, Cocorullo, G, Gulotta, G, Cavallini, M, Addario Chieco, P, Giaccaglia, V, Antonelli, MS & Cocorullo, G 2015, 'Technical characteristics can make the difference in a surgical linear stapler. or not?', Journal of Surgical Research, vol. 197, pagg. 101-106.
Gulotta, Gaspare ; Cocorullo, Gianfranco ; Gulotta, Gaspare ; Cavallini, Marco ; Addario Chieco, Paola ; Giaccaglia, Valentina ; Antonelli, Maria Serena ; Cocorullo, Gianfranco. / Technical characteristics can make the difference in a surgical linear stapler. or not?. In: Journal of Surgical Research. 2015 ; Vol. 197. pagg. 101-106.
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abstract = "Background Anastomotic leak (AL) after gastrointestinal surgery is a severe complication associated with relevant short- and long-term sequelae. Most of the anastomosis are currently performed with a surgical stapler that is required to have appropriate characteristics to guarantee good performances. The aim of our study was to evaluate, in the laboratory, pressure resistance and tensile strength of anastomosis performed with different surgical linear staplers, available in the market. Materials and methods We have been studying three linear staplers, with diverse cartridges and staple heights, of three different companies, used for gastrointestinal anastomosis and gastric or intestinal closure. We performed 50 anastomosis for each device, with the pertinent different cartridges, on fresh pig intestine, for a total of 350 anastomosis, then injected saline solution and recorded the pressure that provokes a leak on the staple line. There were no statistically significant differences between the mean pressure necessary to induce an AL in the various instruments (P > 0.05). For studying the tensile strength, we performed a total of 350 anastomosis with the different linear staplers on a special strong paper (Tyvek), then recorded the maximal tensile force that could open the anastomosis. Results There were no statistically significant differences between the different staplers about the strength necessary to open the staple line (P > 0.05). Conclusions we demonstrated that different linear staplers of three companies available in the market give comparable anastomotic pressure resistance and tensile strength. This might suggest that small dissimilarities between different devices are not involved, at least as major parameters, in AL etiology.",
author = "Gaspare Gulotta and Gianfranco Cocorullo and Gaspare Gulotta and Marco Cavallini and {Addario Chieco}, Paola and Valentina Giaccaglia and Antonelli, {Maria Serena} and Gianfranco Cocorullo",
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AU - Cocorullo, Gianfranco

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AU - Addario Chieco, Paola

AU - Giaccaglia, Valentina

AU - Antonelli, Maria Serena

AU - Cocorullo, Gianfranco

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N2 - Background Anastomotic leak (AL) after gastrointestinal surgery is a severe complication associated with relevant short- and long-term sequelae. Most of the anastomosis are currently performed with a surgical stapler that is required to have appropriate characteristics to guarantee good performances. The aim of our study was to evaluate, in the laboratory, pressure resistance and tensile strength of anastomosis performed with different surgical linear staplers, available in the market. Materials and methods We have been studying three linear staplers, with diverse cartridges and staple heights, of three different companies, used for gastrointestinal anastomosis and gastric or intestinal closure. We performed 50 anastomosis for each device, with the pertinent different cartridges, on fresh pig intestine, for a total of 350 anastomosis, then injected saline solution and recorded the pressure that provokes a leak on the staple line. There were no statistically significant differences between the mean pressure necessary to induce an AL in the various instruments (P > 0.05). For studying the tensile strength, we performed a total of 350 anastomosis with the different linear staplers on a special strong paper (Tyvek), then recorded the maximal tensile force that could open the anastomosis. Results There were no statistically significant differences between the different staplers about the strength necessary to open the staple line (P > 0.05). Conclusions we demonstrated that different linear staplers of three companies available in the market give comparable anastomotic pressure resistance and tensile strength. This might suggest that small dissimilarities between different devices are not involved, at least as major parameters, in AL etiology.

AB - Background Anastomotic leak (AL) after gastrointestinal surgery is a severe complication associated with relevant short- and long-term sequelae. Most of the anastomosis are currently performed with a surgical stapler that is required to have appropriate characteristics to guarantee good performances. The aim of our study was to evaluate, in the laboratory, pressure resistance and tensile strength of anastomosis performed with different surgical linear staplers, available in the market. Materials and methods We have been studying three linear staplers, with diverse cartridges and staple heights, of three different companies, used for gastrointestinal anastomosis and gastric or intestinal closure. We performed 50 anastomosis for each device, with the pertinent different cartridges, on fresh pig intestine, for a total of 350 anastomosis, then injected saline solution and recorded the pressure that provokes a leak on the staple line. There were no statistically significant differences between the mean pressure necessary to induce an AL in the various instruments (P > 0.05). For studying the tensile strength, we performed a total of 350 anastomosis with the different linear staplers on a special strong paper (Tyvek), then recorded the maximal tensile force that could open the anastomosis. Results There were no statistically significant differences between the different staplers about the strength necessary to open the staple line (P > 0.05). Conclusions we demonstrated that different linear staplers of three companies available in the market give comparable anastomotic pressure resistance and tensile strength. This might suggest that small dissimilarities between different devices are not involved, at least as major parameters, in AL etiology.

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