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Endoluminal vacuum therapy for anastomotic leaks after rectal surgery

Abstract

Anastomotic leakage after rectal surgery is a very serious complication and is the main cause of postoperative morbidity and mortality. We describe three cases of rectal leakage which we treated with endoscopic vacuum-assisted closure. We used the Endo-SPONGE (B. Braun Aesculap AG, Germany), which consists of an open-cell, cylindrical polyurethane sponge connected to a drainage tube which is linked to a vacuum system to exert constant suction. The possible role of this new tool in the management of anastomotic leaks is also discussed.

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Correspondence to A. Arezzo.

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Arezzo, A., Miegge, A., Garbarini, A. et al. Endoluminal vacuum therapy for anastomotic leaks after rectal surgery. Tech Coloproctol 14, 279–281 (2010) doi:10.1007/s10151-010-0569-0

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Keywords

  • Endosponge
  • Surgical wound dehiscence
  • Negative pressure wound therapy
  • Vacuum-assisted closure