The GIA stapler places two double rows of staggered B-shaped stables 3.5mm apart and then incises in between. Staple characteristics for the GIA are similar to those for the TA. The GIA stapler is a linear device with two interlocking pieces. Inverting end-to-end anastomosis using EEA and TA staplers.Functional end-to-end or side-to-side anastomosis using GIA and TA staplers.Triangulating end-to-end anastomosis using a TA stapler.Techniques for stapled intestinal anastomosis include: Also, the small size of the small intestine may restrict stapler application. The main disadvantage is the high cost of instrumentation and cartridges some procedures also require familiarity and experience with the equipment to be performed properly. Advantages of stapled anastomoses include increased speed, higher tensile strength, and minimal inflammation. Surgical staplers can be used in a number of ways to create end-to-end intestinal anastomoses. Specific examples for using a TA stapler with V3 cartridge are lung lobectomy, partial splenectomy, nephrectomy, and right auriculectomy. This cartridge is indicated for closure of large vessels or resection of highly vascularized tissue. A specific vascular cartridge (30mm – V3 white) can be used in a TA stapler that places three staggered rows of B-shaped staples. TA staplers are commonly utilized for lung lobectomy, liver lobectomy, and partial gastrectomy, although there are multiple other uses. Cartridges come in lengths of 30, 55, and 90mm and are different colors relative to staple dimensions (Table 1). The B-shaped configuration is compressive enough to provide hemostasis, but is noncrushing, which allows for microcirculation to reach the wound edge and prevent tissue necrosis. TA staplers place two staggered rows of B-shaped staples. However, this may be offset by the reduction in surgical and anesthetic time. The main disadvantage of the LDS is that it is more expensive to use than suture ligation. It can also be used to address the vessels in the broad ligament during a large dog ovariohysterectomy. This instrument is typically used during splenectomies for rapid ligation and division of the multiple small splenic vessels. The LDS simultaneously places two U-shaped vascular clips across and transects a vascular pedicle. Less commonly used staplers are the end-to-end anastomosis (EEA) stapler and the intestinal linear anastomosis (ILA) stapler. The most common staplers utilized in small animal general surgery are the ligating dividing stapler (LDS), the thoracoabdominal (TA) stapler, and the gastrointestinal anastomosis (GIA) stapler. Disadvantages are that the equipment can be expensive and veterinarians may not be as familiar or comfortable with stapling as they are with suture. Surgical staples are inert and efficient and, when used appropriately, staples and stapling devices minimize tissue handling and contamination, perform reliable and secure closures, and provide excellent hemostasis. For certain procedures in the abdominal cavity, surgical staples may be an appropriate alternative to suturing.

Crewlin endo gia stapler