Use of Medical Stapler and Postoperative Care

Medical staplers are divided into two types: reusable and disposable. They are similar to construction or industrial staplers and are designed to insert and close multiple staples at once.

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The device can be used internally to seal tissue during surgery. They are useful in minimally invasive procedures because they only require a narrow opening and can quickly cut and seal tissue and blood vessels. Skin staplers are used externally to close the skin under high tension, such as on the skull or torso of the body.

&#;. When to use a surgical medical stapler?

Surgical medical staples are often used to close incisions in the abdomen and uterus during a C-section because it allows women to heal faster and reduce scar tissue. In addition, surgeons may also use surgical stapler including circular stapler when removing parts of organs or cutting through organs and tissues inside the body.

They are also used to connect or reconnect internal organs within organ systems. These devices are frequently used in procedures involving the digestive tract, including the esophagus, stomach and intestines. Because some of these tubular structures have been removed, the rest must be reconnected.

&#;. Postoperative care of medical staplers

The patient must pay special attention to the medical nails inside the skin to avoid infection. Patients should also always follow their doctor's instructions, do not remove any dressings until it is safe to do so, and rinse twice a day to keep them clean. Your doctor will tell you how and when to bandage the wound to prevent infection.

When to call your doctor about complications from surgical medical stapler:

1. When the bleeding is sufficient to saturate the bandage.

2. When there is brown, green or yellow foul-smelling pus around the incision.

3. When the color of the skin around the incision changes.

4. Difficulty moving around the incision area.

5. When dryness, darkening of the skin, or other changes around the site occur.

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6. Fever above 38&#; for more than 4 hours.

7. When new, severe pain occurs.

8. When the skin near the incision site is cold, pale, or tingling.

9. When there is swelling or redness around the incision.

&#;. Removal of surgical nails

Surgical pins are usually kept for one to two weeks, depending on the type of surgery and the location of the pins. In some cases, it may not be possible to remove the internal staples. When this happens, they are either absorbed or become permanent additions to hold the internal tissue together.

It is usually not painful to remove surgical staples from the skin. But they can only be removed by a doctor. Patients are advised not to attempt to remove the surgical staples on their own.

Removing a surgical staple requires a sterile setup and a specialized surgical staple remover or extractor. The device disperses one staple at a time, allowing the surgeon to gently remove it from the skin.

Usually, the doctor will remove the staples every other staple, and if the wound does not fully heal, schedule a second appointment to remove the remaining staples.

Surgical staplers for internal use are used to deliver staples to tissues inside the body during surgery for:

• Removing part of an organ (resection)
• Cutting through and sealing organs and tissues (transection)
• Creating connections between structures (anastomoses)

Surgical staplers and staples for external use are used outside the body to close large wounds or surgical cuts on a patient's skin or scalp.

Advantages of surgical staplers and staples include:

• Quick placement
• Minimal tissue reaction
• Low risk of infection
• Strong wound closure

Are there problems associated with surgical staplers?

Yes, the FDA describes problems that have been reported in letters to healthcare providers, issued in March  and October , in which the FDA also provides several recommendations and new FDA actions regarding the safe use of surgical staplers and staples for internal use. Due to the increased number of adverse events reported to the FDA, the agency held an open public meeting of the General and Plastic Surgery Devices Panel of the Medical Devices Advisory Committee on May 30, to discuss reclassification of surgical stapler devices for internal use from Class I to Class II.

To help protect patient safety and reduce the number of malfunctions, injuries, and deaths associated with the use of surgical staplers for internal use, in October the FDA issued:

• A final order to reclassify surgical staplers for internal use from Class I to Class II medical devices. Classification of surgical staplers from a Class I to a Class II device subjects these devices to the requirement to submit a premarket notification (510(k)) and to mandatory special controls.
• A final guidance, "Surgical Staplers and Staples for Internal Use - Labeling Recommendations," to help manufacturers develop labeling with information about specific risks, limitations, and directions for safe use of the devices.

The FDA continues to monitor the safety profile for surgical staplers and staples. In addition, the FDA continues work with hospitals and professional societies to encourage training and education to support the safe use of these devices.

How can I report a problem with a surgical stapler or staples?

Consumers can report serious adverse events or other problems related to surgical staplers and other medical devices through the FDA's MedWatch Program.

Manufacturers, hospitals, and other user facilities must report deaths, serious illness, and injuries associated with the use of medical devices.

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