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Endoluminal vacuum therapy for anastomotic leaks after rectal surgery

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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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References

  1. Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W (1997) Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 38:553–562

    Article  CAS  PubMed  Google Scholar 

  2. Argenta LC, Morykwas MJ (1997) Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg 38:563–576 discussion 577

    Article  CAS  PubMed  Google Scholar 

  3. Durai R, Ng PC (2009) Perirectal abscess following procedure for prolapsed haemorrhoids successfully managed with a combination of VAC sponge and Redivac systems. Tech Coloproctol 13:307–309

    Article  CAS  PubMed  Google Scholar 

  4. Bemelman WA (2009) Vacuum assisted closure in coloproctology. Tech Coloproctol 13:261–263

    Article  CAS  PubMed  Google Scholar 

  5. Weidenhagen R, Gruetzner KU, Wiecken T, Spelsberg F, Jauch KW (2008) Endoluminal vacuum therapy for the treatment of anastomotic leakage after anterior rectal resection. Rozhl Chir 87:397–402

    CAS  PubMed  Google Scholar 

  6. Mees ST, Palmes D, Mennigen R, Senninger N, Haier J, Bruewer M (2008) Endo-vacuum assisted closure treatment for rectal anastomotic insufficiency. Dis Colon Rectum 51:404–410

    Article  PubMed  Google Scholar 

  7. Van Koperen PJ, van Berge Henegounen MI, Rosman C et al (2009) The Dutch multicenter experience of the endo-sponge treatment for anastomotic leakage after colorectal surgery. Surg Endosc 23:1379–1383

    Article  PubMed  Google Scholar 

  8. D’Hondt M, De Hondt G, Malisse P, Vanden Boer J, Knol J (2009) Chronic pelvic abscedation after completion proctectomy in an irradiated pelvis: another indication for ENDO-sponge treatment? Tech Coloproctol 13:311–314

    Article  PubMed  Google Scholar 

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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). https://doi.org/10.1007/s10151-010-0569-0

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  • DOI: https://doi.org/10.1007/s10151-010-0569-0

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