Stapling

Question 1

What does the GIA stand for and what is it used for?

Answer 1

Gastro-intestinal-Anastomosis
-also known as the intra luminal anastomossis ILA

used for bowel resection and anastamosis

Question 2

What does the TA stand for what are the indications?

Answer 2

Thoracoabdominal stapler

• no cutting action
• causes an everting staple line

indicated for organ resections: spleen, liver, organs that are highly vascularised and you cannot suture properly

indicated for Resection of Foal Meckel diverticulum (embryonic remnant)

Question 3

What does LDS stand for and what are the indications?

Answer 3

ligating-Dividing-Stapler

ligating vessels

Question 4

What does EEA stand for and what are the indications?

Answer 4

End-End Anastomosis

Question 5

How do you sterilise a GIA?

Answer 5

Gas sterilise

formaldehyde

Question 6

What characteristic feature does an EEA have ?

Answer 6

large wing nutt in the back

Question 7

how are the staples in a GIA arranged and why?

Answer 7

there is a double row, offset to ensure no leakage

Question 8

Which stapler has a circular staple line

Answer 8

EEA

end-end anastamosis

Question 9

Which stapler has a circular staple line

Answer 9

EEA

end-end anastamosis

Question 10

Which instrument is used to do a side to side anastamosis ?

Answer 10

GIA
-inverting staple line
requires a good night stitch

Question 11

Describe the process used with End - End anastomosis with TA

Answer 11

• 3 stay sutures

- each side of the triangle with TA

Question 12

What is a functional end - end anastomosis

Answer 12

• line up bowel to be resected
• make two stab incisions
• join bowel with GIA
• resect bowel with TA

Question 13

What instruments can be used in a colon resection?

Answer 13

• colon clamp
• TA
• everting suture pattern

Question 14

What instruments are used in a cecocolon anastomosis?

Answer 14

side to side anastomosis with GIA