While the rules and concepts for successful surgical anastomosis were laid down by acclaimed surgeons such as Christian Albert Theodore Billroth and William Stewart Halstead, It wasn’t until the year 1908 that a surgical stapler was invented by surgeon Humor Hultl that weighed approximately 8 pounds. Withstanding the test of time, Hulltl's staplers provided several ideas that are still utilized in the modern-day surgical stapler. This includes a double staggered staple row that allows proper closing of the tissues and the “B shaped” staple that provides better control over tissue compression. Finally, Dr. Aladar Von Petz improved on this design and invented a new surgical stapler using the same concepts introduced by Hultl. This was eventually evolved to the modern-day stapler. Over the years, the surgical stapler has evolved to become better than the previous generations – easily loading, specialized, and more functional surgical staplers were created. Modern Day surgical staplers are efficient tools providing clinicians the ability to appose wounds and incisions with great precision. Staplers are available with compatible staples in variable sizes and heights. The surgeon chooses the staple height based on the requirement of the opposition.
- In case a closed staple height is too high there are increased chances of insufficient apposition resulting in bleeding and leakage.
- If a staple height is too low, the shearing can occur which leads to multiple complications.
- Minimization of trauma at the staple site
- Maintenance of a good blood supply
- Prevention of tension at the site of the staple
- Leak-proof apposition to prevent further complications