SURGICAL STAPLERS - A REVIEW

For almost two centuries, surgeons have been using mechanical devices to join tissue. One of the most successful methods is that of stapling , which has become very common in more recent times. The range of stap lers consists of five established stapler categories (circular, linear , linear cutting, ligating and skin staplers), along with recent varia tions which lend themselves to minimally invasive surgery. Within each category, several commercial models are available, many of which have their own unique features. The procedures which are enhanced by these instruments are many and varied. Applications have been further expan ded and improved by the instrument design developments seen in recent pears. This review attempts to present a rationalized overview of the array of stapling instruments, with relevant procedures. The authors b elieve that surgical stapling may be greatly enhanced by further resea rch and development, taking the instrument designs and procedures furt her into the realm of minimally invasive surgery.