Different approaches for Endo-SPONGE® insertion to treat rectal anastomotic leaks
Rectal anastomotic leaks may present in different degrees of severity. Significant leaks are life-threatening events and may lead to a permanent stoma .
The treatment goal in such cases is sepsis control and an attempt to preserve the rectal anastomosis.
Vacuum-assisted closure (VAC) devices have been shown to accelerate wound healing by increasing local blood flow, reducing bacterial load, and stimulating growth of granulation tissue . The Endo-SPONGE® system (B. Braun, Melsungen, Hessen, Germany) was designed on the same principles to specifically treat rectal anastomotic leaks and was first introduced in 2008 .
This vacuum-assisted device consists of a sponge inserted endoscopically through the dehiscence site into the para-anastomotic space and connected to a small container which exerts a constant suction at 120 psi.
Preliminary promising results in the treatment of para-anastomotic abscesses following anastomotic leakage lead to a wider use of this device...
Compliance with ethical statements
Conflict of interest
The authors declare that they have no conflict of interest.
The study was approved by the hospital ethical review board.
Informed consent was exempted due to the retrospective nature of this report.
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