Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses

The creation of successful vascular anastomoses is of primary importance in many surgical fields. Numerous attempts to automate this process have been made. These techniques have slowly gained acceptance, but their use is still limited. This report details feasibility testing of a new prototype stap...

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Autores principales:	CARROLL,PATRICIA B, DEFARIA,WERVISTON, GANDIA,CARLOS, BERHO,MARIANA, MISIAKOS,EVANGELOS, TZAKIS,ANDREAS G
Lenguaje:	English
Publicado:	Sociedad de Biología de Chile 2006
Materias:	Automated stapler prototype testing end-to-end venous anastomosis rollover sleeve technique surgical staplers vascular anastomoses
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602006000300008
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spelling	oai:scielo:S0716-976020060003000082014-01-24Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomosesCARROLL,PATRICIA BDEFARIA,WERVISTONGANDIA,CARLOSBERHO,MARIANAMISIAKOS,EVANGELOSTZAKIS,ANDREAS G Automated stapler prototype testing end-to-end venous anastomosis rollover sleeve technique surgical staplers vascular anastomoses The creation of successful vascular anastomoses is of primary importance in many surgical fields. Numerous attempts to automate this process have been made. These techniques have slowly gained acceptance, but their use is still limited. This report details feasibility testing of a new prototype stapler that automates the rollover sleeve technique for venous vascular anastomoses. Male and female mongrel dogs (n=7) (25-32 kg) were used. A segment of the right (n=5) or left (n=2) iliac vein was harvested for interposition grafts after the contra lateral side was transected. In each dog, two end-to-end venous anastomoses at the interposition grafts were performed. The standard anastomosis employed continuous mattress sutures. The experimental anastomosis was performed with a new prototype surgical stapler. The stapled anastomosis was proximal and the sutured was distal. In all experiments, it was possible to perform the experimental anastomosis with the stapler. Complications included two small leaks, one due to misfiring of a single pin in one experimental site. These leaks required suture reinforcement. One dog died of hemorrhage due to a slipped suture at the vein harvest site. One vein had thrombus seen at the sutured site although no technical abnormalities at either of the anastomoses could be found. After two weeks, grafts were inspected grossly and histologically. Healing appeared normal. There was a trend for less inflammatory cells infiltrating stapled sites; however, this was not statistically significant. The experiments demonstrate that this device can automate the rollover sleeve technique for venous anastomoses.info:eu-repo/semantics/openAccessSociedad de Biología de ChileBiological Research v.39 n.3 20062006-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602006000300008en10.4067/S0716-97602006000300008
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Automated stapler prototype testing end-to-end venous anastomosis rollover sleeve technique surgical staplers vascular anastomoses
spellingShingle	Automated stapler prototype testing end-to-end venous anastomosis rollover sleeve technique surgical staplers vascular anastomoses CARROLL,PATRICIA B DEFARIA,WERVISTON GANDIA,CARLOS BERHO,MARIANA MISIAKOS,EVANGELOS TZAKIS,ANDREAS G Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses
description	The creation of successful vascular anastomoses is of primary importance in many surgical fields. Numerous attempts to automate this process have been made. These techniques have slowly gained acceptance, but their use is still limited. This report details feasibility testing of a new prototype stapler that automates the rollover sleeve technique for venous vascular anastomoses. Male and female mongrel dogs (n=7) (25-32 kg) were used. A segment of the right (n=5) or left (n=2) iliac vein was harvested for interposition grafts after the contra lateral side was transected. In each dog, two end-to-end venous anastomoses at the interposition grafts were performed. The standard anastomosis employed continuous mattress sutures. The experimental anastomosis was performed with a new prototype surgical stapler. The stapled anastomosis was proximal and the sutured was distal. In all experiments, it was possible to perform the experimental anastomosis with the stapler. Complications included two small leaks, one due to misfiring of a single pin in one experimental site. These leaks required suture reinforcement. One dog died of hemorrhage due to a slipped suture at the vein harvest site. One vein had thrombus seen at the sutured site although no technical abnormalities at either of the anastomoses could be found. After two weeks, grafts were inspected grossly and histologically. Healing appeared normal. There was a trend for less inflammatory cells infiltrating stapled sites; however, this was not statistically significant. The experiments demonstrate that this device can automate the rollover sleeve technique for venous anastomoses.
author	CARROLL,PATRICIA B DEFARIA,WERVISTON GANDIA,CARLOS BERHO,MARIANA MISIAKOS,EVANGELOS TZAKIS,ANDREAS G
author_facet	CARROLL,PATRICIA B DEFARIA,WERVISTON GANDIA,CARLOS BERHO,MARIANA MISIAKOS,EVANGELOS TZAKIS,ANDREAS G
author_sort	CARROLL,PATRICIA B
title	Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses
title_short	Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses
title_full	Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses
title_fullStr	Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses
title_full_unstemmed	Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses
title_sort	testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses
publisher	Sociedad de Biología de Chile
publishDate	2006
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602006000300008
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Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses

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