Abstract
New technologies and techniques for performing minimally invasive procedures and forming anastomoses are being developed to reduce the time and surgical trauma involved in various operations. New suturing methods, surgical staplers, and anastomotic devices are increasing the speed, precision, and consistency of anastomoses, and the introduction of surgical glues has increased their patency.
The various surgical specialties are evolving, and multiple alternatives to traditional open procedures, such as the use of surgical robotics and minimally invasive techniques, are increasingly being developed and applied. Alternatives to traditional sutures for approximating tissue include staples, clips, glues, and other mechanical devices. The purported benefits of these alternative methods include the following:
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1.
Improved quality of anastomoses and limited intersurgeon variability
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2.
Improved precision of anastomoses, which allows the creation of superior vascular, gastrointestinal, and other luminal connections
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3.
Reduced operating time
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4.
Reduced operative exposure
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5.
Reduced need to manipulate delicate, hollow structures, such as the aorta, coronary arteries, and gastrointestinal tract
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Abbreviations
- EEA:
-
End-to-end anastomosis
- GIA:
-
Gastrointestinal anastomosis
- GRF:
-
Gelatin-resorcinol-formaldehyde
- TA:
-
Transverse anastomosis
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Acknowledgment
Stephen N. Palmer, PhD, ELS, contributed to the editing of the manuscript.
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de la Cruz, K.I., Cohn, W.E. (2011). Stitches, Glues, and Staples. In: Davies, M., Lumsden, A., Kline, W., Kakadiaris, I. (eds) Pumps and Pipes. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-6012-2_10
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DOI: https://doi.org/10.1007/978-1-4419-6012-2_10
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