Staple penetration and staple histological response for attaching an epimysial electrode onto the abdominal surface of the diaphragm using a laparoscopic approach. Surg Endosc 1997 Jan;11(1):45-53
Date
01/01/1997Pubmed ID
8994988DOI
10.1007/s004649900293Scopus ID
2-s2.0-0030638265 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
BACKGROUND: Laparoscopic stapling was found to be a viable option for attaching epimysial electrodes onto the abdominal surface of the diaphragm. Stapling was preferable to suturing due to its simplicity and speed.
METHODS: Of the two staplers tested in this study, the Ethicon Endopath was preferred over the Autosuture Endo Hernia because the staples did not penetrate the diaphragm when an electrode tab thickness greater than 0.75 mm was used.
RESULTS: The thickness of the electrode tab was an important factor in determining staple penetration but large variation in penetration depth indicated that other factors may also play a role. An electrode tab thickness of 1.0-1.25 mm was suggested to minimize the risk of diaphragm perforation.
CONCLUSIONS: The histological reaction to staples implanted up to 14 months was unremarkable, reflecting the safety of laparoscopic staples for permanently anchoring electrodes on the diaphragm.
Author List
Schmit BD, Stellato TA, Mortimer JTAuthor
Brian Schmit PhD Professor in the Biomedical Engineering department at Marquette UniversityMESH terms used to index this publication - Major topics in bold
Abdominal MusclesAnimals
Diaphragm
Dogs
Electrodes
Foreign-Body Reaction
Laparoscopes
Laparoscopy
Models, Theoretical
Surgical Staplers
Suture Techniques
