Exam 2: Stapling

Question 1

What does GIA stand for in GIA stapler?

Answer 1

Gastrointestinal Anastomosis

Question 2

The GIA stapler is the same thing as the _________ stapler,

but made by a different company

Answer 2

ILA

Question 3

What does ILA stand for in ILA stapler?

Answer 3

Intra-Luminal Anastomosis

Question 4

How do you sterilize GIA/ILA staplers?

Answer 4

GAS sterilization

Question 5

Why do you NOT sterilize GIA/ILA staplers

via steam sterilization?

Answer 5

They are made of PLASTIC!

(must sterilize with gas!)

Question 6

For the GIA/ILA staplers,

a minimum of ____ staple lines are

required by law!

Answer 6

2 staple lines

Question 7

What type of stapler would you use for

bowel anastomosis?

Answer 7

GIA/ILA stapler

Question 8

What does TA in TA stapler stand for?

Answer 8

Thoracoabdominal stapler

Question 9

What is the difference between the TA stapler and other staplers?

Answer 9

The TA90 has NO CUTTING EDGE

Question 10

What does the 90 in TA90 stapler indicate?

Answer 10

The width of the staple line

90 = 90mm = 9cm staple line

Question 11

This stapler is the largest available one

and used in Large Animal surgery often

Answer 11

TA90

Question 12

Staples made using a TA stapler

are placed in an _________ pattern

Answer 12

EVERTING

Question 13

What does LDS in LDS stapler stand for?

Answer 13

Ligating-Dividing-Stapler

Question 14

Which stapler can make different shaped staples?

Answer 14

LDS

Question 15

This stapler is useful for bowel resection and

blood vessels must be isolated before stapling.

It functions to crush the lumen.

Answer 15

LDS

Question 16

What does EEA in EEA stapler stand for?

Answer 16

End to End Anastomosis

Question 17

This type of stapler has a characteristic wingnut at

the end of it

Answer 17

EEA

Question 18

This stapler makes a CIRCULAR staple line and a

makes a double row that is

staggered to prevent leakage

Answer 18

EEA

Question 19

The EEA stapler uses ____-shaped staples

and makes a circular staple line

Answer 19

V-shaped staples

Question 20

A disadvantage of the EEA stapler is that

the staple circumference is only ______mm

Answer 20

21.2 mm

Question 21

After resecting the bowel, the EEA stapler is placed

into the lumen, and creates a ________ at the opening

Answer 21

purse-string

Question 22

The EEA stapler creates an _________ staple line

and uses a circular scalpel blade to punch out the

middle of two segments and brings them together

Answer 22

INverting

Question 23

This stapler has a staple circumference of only 21.2mm

so, it is too small to be used in LA sx.

It is good for foals and SAs though

Answer 23

EEA stapler

Question 24

The skin stapler uses ____-shaped staples

Answer 24

C-shaped

Question 25

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 \_\_\_\_\_\_\_\_\_\_\_\_

Answer 25

good-night stitch

Question 26

What is the best stapler to use for **organ resection**, such as resection of the spleen or lungs

Answer 26

TA90

Question 27

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

Answer 27

GIA or TA staplers (TA is cheaper)

Question 28

What staplers can be used for Appendectomy, and which is the best option?

Answer 28

TA or GIA TA is best for appendectomy

Question 29

How can an end-to-end anastomosis be accomplished without using an EEA stapler?

Answer 29

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.

Question 30

How is a functional end-to-end anastomosis accomplished without an EEA stapler?

Answer 30

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

Question 31

What stapler is used to perform a **colon resection** in an equine? This requires several cartridges, and a *new pelvic flexure* must be made

Answer 31

TA90

Question 32

For colon resection, you need to clamp across the entire colon. How is this accomplished?

Answer 32

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

Question 33

The term for the surgery in which the cecum is attached to the jejunum is known as a

Answer 33

jejunocecostomy

Question 34

Jejunocecostomy is also known as this type of anastomosis

Answer 34

End-Side or Side-Side anastomosis

Question 35

What type of stapler is used to perform a **jejunocecostomy**/end-side anastomosis?

Answer 35

**GIA** stapler

Question 36

A cecocolon anastomosis is performed to relieve chronic cecum impactions using this stapler

Answer 36

**GIA** stapler

Question 37

Which stapler is used in cases of cecal intussusception?

Answer 37

**TA90**

Question 38

What type of stapler is used to make this type of pattern?

Answer 38

EEA

Question 39

What type of stapler is used to make this type of pattern?

Answer 39

GIA/ILA

Question 40

What type of stapler is used to make this type of pattern?

Answer 40

LDS stapler

Question 41

What type of stapler is used to make this type of pattern?

Answer 41

TA90 stapler

Question 42

What stapler is being used here?

Answer 42

LDS stapler

Question 43

What stapler is being used here?

Answer 43

GIA/ILA

Question 44

What stapler does this image relate to?

Answer 44

GIA/ILA

Question 45

What's this?

Answer 45

Good night stitch- stay sutures

Question 46

What type of stapler makes this pattern?

Answer 46

EEA stapler