[New technical and methodologic developments in surgery: mechanical suture technique].
Mechanical suture is possible by linear, circular and so-called anastomotic devices. Linear staplers work with metal clips and polyglactin, while circular-stapler-anastomoses function with metal clips and the Murphy principle. Compared to hand suturing staplers have not only the advantage of saving time but they also provide for a simple closure of the duodenal stump, the bronchus and the safe anastomosis of the rectum and the esophagus. The clipless compression-anastomosis seems to have a promising future. Its advantages include the absence of a foreign body, larger diameter of the anastomosis and no risk of postoperative haemorrhage. Our results with staplers (1987-1988) prove their superiority: there were only three insufficiencies among 140 circular anastomoses of the esophagus and the rectum. No complications occurred in 153 applications of linear staplers on the bowel and the lung.
Ulrich
B
B
Chirurgische Klinik, Kliniken, Landeshauptstadt Düsseldorf.
D000714:Anastomosis, Surgical / Q000295:instrumentation*; D013505:Digestive System Surgical Procedures; D004867:Equipment Design; D006801:Humans; D013528:Surgical Staplers; D013536:Suture Techniques / Q000295:instrumentation*
Neue technische und methodische Entwicklungen in der Chirurgie: Maschinelle Nahttechnik.