A quick and simple method to close vascular, biliary, and urinary tract incisions using the new Vascular Closure Staples: A preliminary report

A. K. Leppäniemi*, D. C. Wherry, R. G. Soltero, E. Pikoulis, H. V. Hufnagel, N. Fishback, N. M. Rich

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

Traditional suture reconstruction of tubular organs creates a perforating needle injury, leaves suture material on the endothelial or mucosal surfaces, and is cumbersome when done endoscopically. One alternative method of reconstruction of tubular organs could use the new non-penetrating clip to create an everted closure. In five pigs, a longitudinal incision of the infrarenal aorta, inferior vena cava, left ureter, gallbladder, and the common bile duct (in two) was closed with Vascular Closure Staples (VCS-clips). Four weeks after surgery, all ten blood vessels remained patent with no thrombosis. There was a well-healed wound with continuous intimai layer. The ureteral, gallbladder, and common bile duct wounds healed without leakage or obstruction in all animals. There was complete mucosal bridging of the wound, although in some specimens one or two clips were exposed to the lumen. The VCS-clips are easily and quickly applied and are safe insofar as can be determined by short-term follow-up.

Original languageEnglish
Pages (from-to)771-774
Number of pages4
JournalSurgical Endoscopy
Volume10
Issue number7
DOIs
StatePublished - Jul 1996
Externally publishedYes

Keywords

  • Biliary tract
  • Blood vessels
  • Metal clips
  • Reconstruction
  • Ureter

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