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  • Title: [Staplers in bladder sutures].
    Author: Reggiani A, Daniele C, Carluccio G, Simone M, Ughi G.
    Journal: G Chir; 1990 Mar; 11(3):181-2. PubMed ID: 2223497.
    Abstract:
    Staplers are still little used for suturing a cystotomy. The basic reason for this reluctance is the inadvisability of using non-absorbable material in the lumen of the urinary tract, as this may be the nucleus for the formation of stones. It must be remembered, however, that a correct suture of a cystotomy should be carried out in two layers: one internal mucous layer, consisting of a continuous suture of absorbable material, and a more superficial suture of the margins of the vesical detrusor. The latter can be performed with a linear stapler, as it is completely outside the mucous layer. More recently, linear staplers with absorbable staples have appeared on the market, by which cystotomy sutures can be performed in a single layer.
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