Exam 2: Stapling Flashcards
What does GIA stand for in GIA stapler?
Gastrointestinal Anastomosis
The GIA stapler is the same thing as the _________ stapler,
but made by a different company
ILA
What does ILA stand for in ILA stapler?
Intra-Luminal Anastomosis
How do you sterilize GIA/ILA staplers?
GAS sterilization
Why do you NOT sterilize GIA/ILA staplers
via steam sterilization?
They are made of PLASTIC!
(must sterilize with gas!)
For the GIA/ILA staplers,
a minimum of ____ staple lines are
required by law!
2 staple lines
What type of stapler would you use for
bowel anastomosis?
GIA/ILA stapler
What does TA in TA stapler stand for?
Thoracoabdominal stapler
What is the difference between the TA stapler and other staplers?
The TA90 has NO CUTTING EDGE
What does the 90 in TA90 stapler indicate?
The width of the staple line
90 = 90mm = 9cm staple line
This stapler is the largest available one
and used in Large Animal surgery often
TA90
Staples made using a TA stapler
are placed in an _________ pattern
EVERTING
What does LDS in LDS stapler stand for?
Ligating-Dividing-Stapler
Which stapler can make different shaped staples?
LDS
This stapler is useful for bowel resection and
blood vessels must be isolated before stapling.
It functions to crush the lumen.
LDS
What does EEA in EEA stapler stand for?
End to End Anastomosis
This type of stapler has a characteristic wingnut at
the end of it
EEA
This stapler makes a CIRCULAR staple line and a
makes a double row that is
staggered to prevent leakage
EEA
After resecting the bowel, the EEA stapler is placed
into the lumen, and creates a ________ at the opening
purse-string
For bowel resection using the GIA/ILA stapler,
the segments are lined side-by-side,
and stay sutures are placed.
These stay sutures are commonly termed
____________
good-night stitch
What is the best stapler to use for
organ resection, such as resection of the
spleen or lungs
TA90
What staplers can be used for
resection of meckel’s diverticulum,
a remnant of the embryonic yolk sac
that can twist or tear and cause issues
GIA or TA staplers (TA is cheaper)
What staplers can be used for Appendectomy,
and which is the best option?
TA or GIA
TA is best for appendectomy
How can an end-to-end anastomosis be accomplished
without using an EEA stapler?
Use the TA stapler:
Place 3 stay sutures, place TA and staple, cut off excess tissue.
Remove cartridge and repeat on the next side.
Repeat again, for a total of 3 sides.
How is a functional end-to-end anastomosis
accomplished without an EEA stapler?
Requires 1 GIA and 1 TA stapler
2 stab incisions are placed dorsally on the healthy side of clamp
GIA is placed through incisions to anastomose the two sides
TA is used to cut off the segment
For colon resection, you need to clamp across the entire colon.
How is this accomplished?
Use the largest GIA stapler (80mm/8cm)
and staple on one side first, replace the cartridge,
and staple from the other side, meeting in the middle
What type of stapler is used to perform a
jejunocecostomy/end-side anastomosis?
GIA stapler
A cecocolon anastomosis is performed to
relieve chronic cecum impactions
using this stapler
GIA stapler
What type of stapler is used to make this type of pattern?
EEA
What type of stapler is used to make this type of pattern?
GIA/ILA
What type of stapler is used to make this type of pattern?
LDS stapler
What type of stapler is used to make this type of pattern?
TA90 stapler
What stapler is being used here?
LDS stapler
What stapler is being used here?
GIA/ILA
What stapler does this image relate to?
GIA/ILA
What’s this?
Good night stitch- stay sutures
What type of stapler makes this pattern?
EEA stapler
