Circular Staplers
* Esophagectomy,Gastrectomy,Small intesting and
Colon Excision Operation,Rectum low antrior resection
Linear Cutter Staplers
* General Surgery, Chest Surgery,Gynecology
and the parenchyma Excision,transection,reforger and anastomose of pediatric Operation.
The Endo-GIA staple(Linear cutter stapler)r for the side-to-side colorectal anastomosis in the Duhamel operation
Enrique M. Balén1 , José L. Hernández-Lizoáin1, Fernando Pardo1, Vanessa H. de Villa1 and Javier A. Cienfuegos1
(1) | Department of Surgery, University Hospital, University of Navarra, Pamplona, Spain |
(2) | Dpto. de Cirugía General, Clínica Universitaria de Navarra, Avda. Pio XII s/n, E-31080 Pamplona, Spain |
Accepted: 1 June 1993
Abstract A new technical modification of the Duhamel operation for construction of the side-to-side colorectal anastomosis is reported. A 21/2-year-old boy was duagnosed as having Hirschsprung''s disease affecting the rectum and sigmoid colon. A Duhamel operation was performed with three modifications of the technique described by Lester W. Martin: the side-to-side colorectal anastomosis was performed with an Endo-GIA 30 stapler (Auto Suture; United States Surgical Corporation, Norwalk, Conn.) in an inverted V-shaped triangular manner; the remnant of the rectal stump was excited just above the Endo-GIA anastomosis, thus preserving only the rectal ampulla; and the rectal stump was left closed without being anstomosed to the descending colon. The postoperative functional results were excellent 6 months after the operation.
Key words Endo-GIA -Linear cutter stapler- Technical innovation - Duhamel operation-surgical stapler
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