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01.11.2009 | Symposium: Selected Papers Presented at the 2008 Meeting of the Musculoskeletal Tumor Society | Ausgabe 11/2009

Clinical Orthopaedics and Related Research® 11/2009

The Linear Cutting Stapler May Reduce Surgical Time and Blood Loss with Muscle Transection: A Pilot Study

Clinical Orthopaedics and Related Research® > Ausgabe 11/2009
MD, MBA Daniel C. Allison, MD Elke R. Ahlmann, PhD Anny H. Xiang, MD, FACS Lawrence R. Menendez
Wichtige Hinweise
Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.
This work was performed at University of Southern California, Baldwin Park, CA.


Because of skeletal muscle’s density and vascularity, its transection with standard electrocautery can be tedious. In a pilot study we asked whether a linear cutting stapling device decreased surgical time, blood loss, transfusion rates, and complications in patients undergoing above-knee amputation when compared to traditional electrocautery. We retrospectively reviewed 11 patients with above-knee amputation cases using a linear cutting stapling device over a 10-year period and compared those to 13 patients in whom we used electrocautery. The patients treated with the linear cutting stapling device had an average of 97 minutes of surgical time, 302 cc blood loss, and 1.55 units transfusion, compared to an average 119 minutes, 510 cc, and 2.15 units, respectively, with the electrocautery cases. Despite the trends, these parameters, as well as major complications, were similar in these two small groups. In skeletal muscle transection, we believe the linear cutting stapler is a reasonable and potentially cost-effective technical alternative to electrocautery, possibly resulting in less blood loss and shorter surgical time with similar rates of complications.
Level of Evidence: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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