This presentation contrasts the use of surgical skin staples (procedure outlined) with the simple interrupted suture pattern (historically the technique of choice for intestinal anastomosis) and the simple continuous suture pattern (which decreases surgical time but could result in complete dehiscence of the anastomosis). The use of inexpensive disposable skin staples was first proposed by military surgeons for rapid field treatment of multiple intestinal wounds. A recent study in the veterinary literature found no difference in outcome between appositional end-to-end intestinal anastomosis done with skin staples versus the simple interrupted suture pattern (this author has been using skin staples successfully in dogs for almost 3 years). Numerous manufacturers provide skin staples in regular and wide dimensions-the regular dimension is most suitable for intestinal anastomosis because it brings bowel ends closer together. More rapid application of staples and reduced need for handling cut edges of bowel may have the added benefit of reducing tissue trauma. Notation of staple use on the patient's chart can prevent incorrect interpretation of radiographic findings in the future.
COMMENTARY: Skin staples are a fast and convenient alternative to traditional hand-suturing during intestinal anastomoses. This technique can also be considered for enterotomy closure.
Use of skin staples in GI surgery. Hottinger H. NAVC PROCEEDINGS, 2003, p 1059.
