[Staplers in bladder sutures].
Staplers are still little used for suturing a cystotomy. The basic reason for this reluctance is the inadvisability of using non-absorbable material in the lumen of the urinary tract, as this may be the nucleus for the formation of stones. It must be remembered, however, that a correct suture of a cystotomy should be carried out in two layers: one internal mucous layer, consisting of a continuous suture of absorbable material, and a more superficial suture of the margins of the vesical detrusor. The latter can be performed with a linear stapler, as it is completely outside the mucous layer. More recently, linear staplers with absorbable staples have appeared on the market, by which cystotomy sutures can be performed in a single layer.
Reggiani
A
A
Divisione Urologia, Arcispedale S. Anna, Ferrara.
Daniele
C
C
Carluccio
G
G
Simone
M
M
Ughi
G
G
D005069:Evaluation Studies as Topic; D006801:Humans; D013528:Surgical Staplers; D013536:Suture Techniques; D001743:Urinary Bladder / Q000601:surgery*
Gli staplers nelle suture vescicali.