The TA 90 is used to close the gastric pouch.

Slip the jaws of the TA 90 around

the stomach at the level of transection, screw the pin into place, tighten the jaws
and fire the staples. Before removing the instrument, place a clamp on the
specimen side and transect the stomach using the TA 90 edge as a cutting guide.
There may be some oozing along the gastric staple line which usually stops
spontaneously. Occasionally a bleeder along the cut edge occurs and should be
ligated manually.
Excise a portion of the gastric stump staple line, on the greater curvature side,
slightly less than the diameter of the duodenum.

16