Intraluminal Stapler
Circular stapler · EEA stapler · CEEA stapler · End-to-end anastomosis stapler
Long, cylindrical, single-use stapler with a detachable anvil head. It fires a circular, double-staggered row of titanium staples, and a circular knife inside the head trims the excess tissue at the same time. Made curved or straight.
- Class
- Suturing & Stapling
- On setups
- 6
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Creates end-to-end, end-to-side or side-to-side anastomosisuh-nas-tuh-MOH-sisA connection between two tube-shaped structures, such as two ends of bowel or two blood vessels, made by surgery or found naturally.Full entry in the GI tract, open or laparoscopiclap-uh-roh-SKOP-ikDone through a few small cuts in the abdomen with a thin camera and long instruments, instead of one large opening.lapar/o abdomen-scopic viewingFull entry ; common in resectionrih-SEK-shunSurgery to remove part of an organ or tissue.re- back, againsect to cut-ion processFull entry and re-joining of the distal colon or rectum (low anterior resection, sigmoidSIG-moydShaped like the letter S; most often short for the sigmoid colon, the S-shaped last part of the colon before the rectum.Full entry colectomykoh-LEK-tuh-meeSurgery to remove all or part of the colon.col/o colon-ectomy surgical removalFull entry ), where it is passed through the anus. Sizers are used first to choose the diameter.
Lengths and variants
About 21 to 34 mm diameter; heads of 25, 28 and 31 mm are common.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
In the order you meet it: before, during and after the case.
- During the case
Passing it
How to pass it so it lands in the surgeon’s hand the right way round.Pro
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On 6 setups
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4 sources
- Nemitz R. Surgical Instrumentation: An Interactive Approach. 3rd ed. Chapter 3 (General instruments), p. 102
- Phillips N. Surgical Instrumentation. 2nd ed. Chapter 7 (General Surgery Instrumentation), p. 188, Fig. 7-71
- Association of Surgical Technologists. Surgical Technology for the Surgical Technologist. 4th ed. Chapter 11 (Wound Healing, Sutures, Needles, and Stapling Devices), p. 319
- Goldman MA. Pocket Guide to the Operating Room. 3rd ed. Chapter 17 (Gastrointestinal Surgery), p. 255
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