Publication: Effectiveness of endoluminal vacuum-assisted closure therapy (endosponge) for the treatment of pelvic anastomotic leakage after colorectal surgery
Program
KU-Authors
KU Authors
Co-Authors
Keskin, Metin
Bayram, Onur
Bulut, Turker
Advisor
Publication Date
2015
Language
English
Type
Journal Article
Journal Title
Journal ISSN
Volume Title
Abstract
: Anastomotic leakage is a serious complication with significant morbidity and mortality. The popularity of endoscopic treatment (Endo-SPONGE) is increasing for distally located colorectal pouch-anal anastomotic leakages. This was a retrospective study of 15 cases involving the application of the Endo-SPONGE for anastomotic leakage following proctectomy between May 2009 and May 2014. of the 15 cases, lower anterior resection occurred in 12 cases (80%), and pouch-anal anastomosis in 3 cases (18%). In 8 patients (55%), the endosponge was applied during the early term, and in 7 patients (45%) during the late term. The average number of applications was 2.2 (range, 1 to 5). Treatment was discontinued due to the progression of pelvic sepsis in 2 patients and due to bleeding in 1 patient. Lumen integrity was achieved in 12 cases. Lumen integrity after anastomotic leakages can be preserved by endoluminal vacuum therapy, which permits the closure of the stoma without requiring reconstructive surgery.
Description
Source:
Surgical Laparoscopy Endoscopy and Percutaneous Techniques
Publisher:
Lippincott Williams and Wilkins (LWW)
Keywords:
Subject
Surgery