Staplers or clips?

Anoscopic-assisted insertion of end-to-end anastomosing staplers.

Widespread popularity of the double-stapler technique has created the potential for anal sphincter and anal canal injury during transanal insertion of the end-to-end anastomosing stapler. The Faensler operating anoscope helps eliminate that potential by symmetrically dilating the anal canal, thereby permitting atraumatic insertion of the end-to-end anastomosing stapler.

Re: JSLS 2006;10:254–256 Laparoscopic Management of Giant Ovarian Cyst

As surgeons, we should continue to strive to do what is best for the donor without compromising graft function. The laparoscopic approach is the preferred approach in the vast majority of US transplant centers. The options for laparoscopic control of the renal vessels are staplers or clips. If clips are not used, we must rely on staplers. The vascular staplers and multiple locking clips were gi...

Authors' Response JSLS 2006;10:135–140

As surgeons, we should continue to strive to do what is best for the donor without compromising graft function. The laparoscopic approach is the preferred approach in the vast majority of US transplant centers. The options for laparoscopic control of the renal vessels are staplers or clips. If clips are not used, we must rely on staplers. The vascular staplers and multiple locking clips were gi...

Medical Journal Clips.......................................................................................

Perineal Stapled Resection with Linear Staplers for External Rectal Prolapse

and internal prolapse. Rectal prolapse is an anatomic abnormality and requires surgical resection. Numerous procedures have been described for the treatment of complete rectal prolapse, and these are classified as perineal or abdominal approaches. Perineal procedures such as the Delorme procedure, Altemeier operation (perineal rectosigmoidectomy), Thiersch procedure (anal encirclement), McCann ...