A next-generation laparoscopic stapler for intracorporeal anastomosis allows simple, quick closure for the typical enterotomy.The unique tool has been established by Seger Surgical Solutions Ltd. (Misgav, Israel) which has effectively completed pet studies and is verifying the device for human tests and FDA clearance.Digestive tract resection surgical procedure includes getting rid of a section of the intestinal tract. Following resection, the doctor creates a typical opening (enterotomy) in the two digestive tract sections to link them (anastomosis). Laparoscopic digestive tract resection and anastomosis are chosen over open surgical treatment due to scientific benefits to the patient and also procedure rate. Currently, most resections and also anastomoses are carried out outside the abdomen (extracorporeal) as a result of the difficulties of laparoscopic suturing. Extracorporeal anastomosis has actually been shown to lead to longer healthcare facility remains and increased hospital stay costs because of post-operative difficulties, consisting of higher post-op rupture prices with midline cuts, boosted discomfort, as well as worse cosmesis due to larger cuts.Laparoscopic surgery has revolutionized the field of surgery, enabling surgeons to perform procedures through small incisions. Laparoscopic staplers have played a crucial role in the advancement of laparoscopic surgery, allowing surgeons to perform stapling and cutting procedures with greater ease and precision. The Next Generation Laparoscopic Stapler is a significant advancement in laparoscopic surgery, providing increased precision and control during stapling procedures. This essay will discuss the features and benefits of the Next Generation Laparoscopic Stapler.What is the Next Generation Laparoscopic Stapler?The Next Generation Laparoscopic Stapler is a surgical instrument that enables surgeons to perform stapling and cutting procedures during laparoscopic surgery. The instrument consists of a handle, a shaft, and a jaw. The handle provides a comfortable grip, while the shaft allows the instrument to be maneuvered through small incisions. The jaw is used to staple and cut tissues during the procedure.Features of the Next Generation Laparoscopic Stapler:Articulating TechnologyThe Next Generation Laparoscopic Stapler has a unique articulating technology that enables the instrument to move in a natural, ergonomic manner. The articulating technology allows the instrument to move in a 360-degree range of motion, providing the surgeon with increased dexterity and precision.Ergonomic HandleThe handle of the Next Generation Laparoscopic Stapler is ergonomically designed to provide a comfortable grip for the surgeon. The handle is made of a lightweight material that reduces hand fatigue and allows for a secure grip.Lightweight ShaftThe shaft of the Next Generation Laparoscopic Stapler is made of a lightweight material that enables the instrument to be maneuvered through small incisions. The lightweight shaft also reduces hand fatigue and allows for more precise movements.Versatile JawThe jaw of the Next Generation Laparoscopic Stapler is designed to be versatile and can be used to staple and cut tissues during the procedure. The jaw is also interchangeable, allowing the surgeon to use different types of jaws for different procedures.Integrated Firing SystemThe Next Generation Laparoscopic Stapler has an integrated firing system that enables the surgeon to fire the instrument with a single hand movement. The firing system reduces the risk of misfiring and provides increased control during the stapling and cutting procedures.Benefits of the Next Generation Laparoscopic Stapler:Increased Dexterity and PrecisionThe Next Generation Laparoscopic Stapler enables surgeons to perform stapling and cutting procedures with increased dexterity and precision. The articulating technology and versatile jaw allow the surgeon to maneuver the instrument with greater ease, enabling them to perform procedures with greater accuracy and control.Reduced Hand FatigueThe lightweight design of the Next Generation Laparoscopic Stapler reduces hand fatigue, allowing surgeons to perform procedures for longer periods without experiencing discomfort. The ergonomic handle also provides a comfortable grip, further reducing hand fatigue.Improved Patient OutcomesThe increased dexterity and precision provided by the Next Generation Laparoscopic Stapler can result in improved patient outcomes. The instrument allows for more precise movements, reducing the risk of complications and improving the accuracy of the procedure.VersatilityThe Next Generation Laparoscopic Stapler is versatile and can be used for a variety of laparoscopic procedures. The interchangeable jaw allows the surgeon to use different types of jaws for different procedures, making the instrument suitable for a wide range of surgeries.Improved EfficiencyThe increased dexterity and precision provided by the Next Generation Laparoscopic Stapler can also result in improved efficiency. The instrument allows the surgeon to perform procedures more quickly and accurately, reducing the time required for the procedure and improving the overall efficiency of the surgical team.Comparison with Traditional Laparoscopic Stapler:The Next Generation Laparoscopic Stapler provides several advantages over traditional laparoscopic staplers. Traditional laparoscopic staplers have limited mobility, and the surgeon's hand movements are restricted by the size of the instrument. The Next Generation Laparoscopic Stapler's articulating technology and versatile jaw provide increased dexterity and precision during stapling and cutting procedures, reducing the risk of complications and improving patient outcomes.The ergonomic handle and lightweight shaft of the Next Generation Laparoscopic Stapler reduce hand fatigue, allowing the surgeon to perform procedures for longer periods without experiencing discomfort. Traditional laparoscopic staplers can cause hand fatigue and discomfort, resulting in longer procedure times and reduced efficiency.The integrated firing system of the Next Generation Laparoscopic Stapler provides increased control during stapling and cutting procedures, reducing the risk of misfiring and improving the accuracy of the procedure. Traditional laparoscopic staplers require multiple hand movements to fire the instrument, increasing the risk of misfiring and reducing the accuracy of the procedure.Conclusion:The Next Generation Laparoscopic Stapler is a significant advancement in laparoscopic surgery, providing increased dexterity and precision during stapling and cutting procedures. The instrument's articulating technology, ergonomic handle, lightweight shaft, versatile jaw, and integrated firing system provide several benefits, including reduced hand fatigue, improved patient outcomes, and improved efficiency. The Next Generation Laparoscopic Stapler's advantages over traditional laparoscopic staplers make it a valuable addition to the surgical team, improving patient outcomes and reducing the risk of complications.
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The surgical stapler most likely has a European history. To prevent spillage of bowel contents during abdominal surgery, the Hungarian surgeon Hümer Hültl developed the first known surgical stapler together with the engineer Victor Fischer in (Fig. 1)1,2.
The stapler consisted of U-shaped steel wire staples. After stapling, the tissue had to be cut. The staples did not completely close to prevent tissue necrosis, but were left in a B shape after stapling to allow tissue perfusion. The Fischer&#;Hültl stapler took 2 h to reload with individual staples and weighed about 5 kg. The first operation using this stapler was a subtotal gastrectomy for gastric cancer. In , Aladar Petz, who was trained by Hültl, developed a lighter version that used nickel&#;silver alloy staples and weighed 1 kg (Fig. 2)3.
The Petz stapler gained in popularity and became the most used stapler for the next 40 years. An important modification was made by the German surgeon Friedrich, who developed replaceable cartridges preloaded with staples in . Here, an exchange system comparable to that of surgical blades developed by Morgan Parker, as described earlier in this series, was introduced4.
In World War II, Vasilii Kolesov worked as a military surgeon during the siege of Leningrad5. His hospital had a high caseload owing to the numerous war injuries, and was often confronted with vascular injury. To decrease procedure time, the engineer Vasilii Gudov developed a vessel stapler to anastomose blood vessels (Fig. 3)5,6.
Kolesov eventually used this device in coronary artery surgery. In addition, it was often used in animal experiments and laboratory settings. However, the vascular stapler was not practical to use and needed more vessel length in comparison to a sutured end-to-end anastomosis.
Staplers become more popular in the Soviet Union, and several models were developed for vascular anastomoses, parenchymal resection, and gastrointestinal anastomoses1.
It was Mark Ravitch who brought surgical stapling from the Soviet Union to the USA. Ravitch was a New York-born surgeon and son of Russian immigrants. In , a group of American surgeons, including Ravitch, visited Kiev to learn about Russian blood banking principles. Here, Ravitch met Nikolai Amosov, head of a thoracic surgery department. When shown movies of pulmonary resections, Ravitch saw stapled bronchus resections and metal staples on postoperative chest X-rays. Ravitch requested the staplers used, but was refused. Eventually he bought several models of surgical stapler in a store in Leningrad and started using them to close bronchial stumps2.
In Leon Hirsch, a businessman who collaborated with Mark Ravitch, founded the United States Surgical Corporation. Based on the staplers from the Soviet Union, they added improvements such as linear cutting and circular stapling, and developed the thoracoabdominal (TA) stapler and gastrointestinal anastomosis (GIA) model under the brand name Auto Suture&#; (Fig. 4).
Fig. 4
Latest models of thoracoabdominal and gastrointestinal anastomosis staplers7
Open in new tabDownload slideThese staplers gained in popularity and the company grew. Interchangeable cartridges with different sizes and heights of staple specifically for the tissue stapled were introduced. With the rise of laparoscopic surgery, stapling technology further developed, and automated firing and powered stapling was added (Fig. 5).
Fig. 5
Endostapler for use in tissue division and anastomoses in thoracolaparoscopic surgery.
The stapler is battery-powered and uses automated firing8.
Open in new tabDownload slideFrom an environmental perspective, staplers are made from disposable materials and equipped with single-use batteries. Recently, more attention has been given to the concept of reusing materials, and reusable staplers may possibly become more popular again. Several projects have been initiated to reuse individual components of staplers.
The author has no funding to declare.
The author declares no conflict of interest.
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For more laparoscopic surgery staplerinformation, please contact us. We will provide professional answers.
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https://www.medtronic.com/covidien/nl-nl/products/surgical-stapling.html#8
https://www.jnjmedtech.com/en-EMEA/product/echelon-flex-endopath-staplers© The Author(s) . Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved. For permissions, please :
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model ( https://academic.oup.com/pages/standard-publication-reuse-rights
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