Question:
Does scar tissue form at the staple line?

If so, will this help reduce the chances of a possble leak (break in the staple line)?    — Betty M. (posted on July 19, 2001)


July 19, 2001
My surgeon explained that when the stomach is only stapled and not transected, that the two surfaces that meet are mucous membranes. These do not form scar tissue and do not heal together-no matter how many rows of staples that the surgeon uses. The staples eventually work their way out. When the stomach is transected the pouch is stapled with the outside of the stomach meeting and then my surgeon also oversews this. Scar tissue does form when these surfaces meet. Shelley
   — Shelley.

July 19, 2001
My surgeon explained that when the stomach is only stapled and not transected, that the two surfaces that meet are mucous membranes. These do not form scar tissue and do not heal together-no matter how many rows of staples that the surgeon uses. The staples eventually work their way out. When the stomach is transected the pouch is stapled with the outside of the stomach meeting and then my surgeon also oversews this. Scar tissue does form when these surfaces meet. Shelley
   — Shelley.

July 20, 2001
Shelley, I sent your response to my surgeon and he answered that your answer was 100% accurate. I was not transected because at the time he did not do it. Now he does. I may have to have a revision. I wanted transection all along. Wish I had it. But many people have succeeded without transection. How do some people stay intact while others disrupt? I am having endoscopy to see if everything is still intact since my loss is so slow lately. Thanks for the accurate information!
   — Marilyn C.




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