Intraoperative hemostasis and wound healing in intestinalanastomoses using the ILA stapling device

Scott Berman, Makoto Hashizume, Yeng Yang, Joseph DuPree, Teruo Matsumoto

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

Intraoperative hemostasis and wound healing of 24 side-to-side intestinal anastomoses constructed with the ILA stapling device were studied in 12 dogs by comparing the ILA-32 and ILA-52 staple cartridges. Hemostasis was evaluated by intraoperative measurement of blood loss and bleeding time at the staple line. There was no statistically significant difference in mean blood loss (p>0.05) or mean bleeding time (p>0.10) between the two cartridges. Wound healing was studied using bursting strength measurements and silicone rubber casting of the microvasculature at the staple line. At 3 days, 1 week, and 2 weeks postoperatively, there was no significant difference between bursting strength values achieved with the two cartridges. Microscopic examination revealed that wound healing in the ILA-52 anastomoses lagged behind healing in the ILA-32 anastomoses at each postoperative time period studied. The silicone rubber casting study showed a paucity of microvasculature at the healing staple line with the ILA-52 cartridge as compared with the ILA-32 cartridge. Our findings suggest that the ILA-52 cartridge does not offer significantly improved intraoperative hemostasis over the ILA-32 cartridge and may affect the microvasculature at the staple line in a way that delays wound healing.

Original languageEnglish
Pages (from-to)520-525
Number of pages6
JournalThe American Journal of Surgery
Volume155
Issue number3
DOIs
Publication statusPublished - Mar 1988
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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