Achieving Optimal Anastomosis

Achieving optimal anastomosis is one of the most critical jobs in Colorectal surgeries. Many colectomies are at “high risk” for leaks due to poor blood supply, fragile or inflamed tissues, or difficult anatomy.

Risk of anastomotic leaks

Increase the clinical and economic burden511

Anastomotic leaks place a huge burden on patient lives and the global economy. Research shows anastomotic leaks result in 9,500 additional in-patient days and $28.6 million in additional costs per 1,000 patients undergoing Colorectal surgery.511

Download clinical paper for more details  picture_as_pdf
Colorectal - Risk of anastomotic leaks

Controlled Tissue Compression

For a secure anastomosis and effective perfusion

The Ethicon Circular Stapler with its Controlled Tissue Compression and Adjustable Height Staple technology is designed to deliver optimal compression necessary for a secure anastomosis and effective perfusion to promote healing.

Learn more about the benefit of controlled tissue compression  picture_as_pdf

Secure staple formation

Achieve optimal performance

Watch a video showing Dr. Sonia Ramamoorthy from the University of California San Diego Medical Center experience optimal staple formation while performing a sigmoid resection anastomosis.

Explore more details about Ethicon Circular Staplers  open_in_new

Reduced staple line leakage

Superior staple formation compared with AutoSuture DST Series GIA

PROXIMATE® Linear Cutters featuring a unique Cam Mechanism and tissue retention pin produce the tightest closed staple height, providing fewer malformed staples than AutoSuture DST Series GIA.* It also may help reduce staple line leakage compared to the AutoSuture DST Series GIA.

Learn more about PROXIMATE® Linear Cutters  open_in_new
Colorectal - Reduced staple line leakage

Ethicon Linear Cutter

Superior seal and consistent compression

Designed with innovative 3-D staple technology, the Ethicon Linear Cutterβ produces uniform tissue compression within the staple line to reduce the risk of staple line leakage and bleeding,¥ delivering superior hemostasisǁ compared to AutoSuture DST Series GIA.ǁ

Learn more about Ethicon Linear Cutterβ  open_in_new
Colorectal - Superior seal anc consistent compression

Plot of the paired difference in hemostasis scores.


A better grip on movement

ECHELON FLEX™ GST System features a closed channel design, Gripping Surface Technology and the stability of a powered platform, providing a reliable solution for side-to-side anastomosis.

Learn more about ECHELON FLEX™ GST System  open_in_new
Colorectal - ECHELON FLEX™ GST System


Site References

  • * Benchtop testing in porcine tissue vs AutoSuture DST Series GIA (GIA8038S) at 2mm-5mm thickness range (p<0.001).
  • Benchtop testing of luminal leak pressure in an excised pre-clinical tissue model.
  • The height of the bar at zero indicates the number of identical scores between the two instruments. Bars to the left in green indicate score differences that favor NTLC75 instrument firings. The NTLC75 instrument firings had statistically improved hemostasis compared to the GIA™.
  • β ETHICON ENDO-SURGERY™ Linear Cutters (NTLC55 & NTLC75)
  • ¥ Benchtop testing of luminal leak pressure in an excised animal tissue model. Hemostasis assessment based on visual inspection of vessels after transection in an animate porcine model.
  • ǁ Assessment based on visual inspection of vessels after transection in an animate porcine model compared to the Autosuture DST Series GIA (GIA8038S) and Frankenmann Chex Linear Cutter (LC80B).
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