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Results for “Surgical Stapling”

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At least 361 records · Page 20Linked to original sources
PubMed1995

Clinical outcomes with laparoscopic approaches and open Burch procedures for urinary stress incontinence.

Laparoscopic minimally invasive approaches to urinary stress incontinence have been described in the literature since 1989. Technical advances have improved both access to the space of Retzius and the operator's ability to accomplish retropubic colposuspension. In addition to the traditional open Burch procedures, a new laparoscopic method of colposuspension is available. In one group of women, laparoscopically guided procedures were performed in the classic fashion using only sutures. In the second laparoscopic group the suspension was performed with a combination of sutures and endoscopic staples (Nolan-Lyons modification of the Burch). The third group was analyzed retrospectively by chart review and patient interview for surgical outcome data. All groups were similar demographically. Clinical outcomes were similar in the laparoscopic groups, and surgical morbidity was significantly decreased compared with traditional open procedures. Relief of symptoms was similar in all groups at 1-year follow-up. We conclude that a laparoscopic approach to retropubic colposuspension is an effective alternative with improved clinical outcomes. Additional modifications that can improve surgeons' accessibility to these techniques are feasible, with comparable clinical outcomes.

Adult↗
PubMed1993

Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings.

Laparoscopic techniques were used in five cases to repair incisional abdominal hernias ranging in size from 1.5 to 6 cm2. Four to five trocars were used in each case, one in the upper midline and three or four placed laterally. All repairs were made using 1-mm-thick expanded polytetrafluoroethylene patches inserted intraperitoneally and stapled to the anterior abdominal wall over the defects, making use of intra-abdominal pressure to secure the repair. The surgical technique is an extension of our current laparoscopic techniques for repairing inguinal hernias and potentially offers a significant decrease in morbidity.

Adult↗
PubMed1995

[Stapling reconstruction after gastric resection. Proposed technical variation].

The authors, considering their experience in the use of stapler, suggests a technical modification of the typical gastroenteral anastomosis, to avoid some surgical complications of the mechanical anastomosis. This new technique, using two GIA 80, reproduces an handmade anastomosis. This suture is easy and fast, physiologic and safe.

Anastomosis, Surgical↗
PubMed1997

Stapled fistulectomy to treat enteroenteric fistulas in Crohn's disease.

We report herein our technique of performing stapled fistulectomy as minimum surgery for the resection of nine entero-enteric fistulas in six patients with Crohn's disease. The surgical outcome was successful in all patients. It would seem that fistulous sites without a severe affected lesion are a favorable indication for this procedure and we recommend this simplified fistulectomy for selected conditions in Crohn's disease.

Adult↗