Endoscopic vacuum therapy with instillation (iEVT) - a novel endoscopic concept for colorectal anastomotic leak and perianal complications

被引：11

作者：

Bobkiewicz, Adam ^{[1
]}

Krokowicz, Lukasz ^{[1
]}

Banasiewicz, Tomasz ^{[1
]}

Borejsza-Wysocki, Maciej ^{[1
]}

机构：

[1] Poznan Univ Med Sci, Dept Gen Endocrinol & Gastroenterol Oncol Surg, 49 Przybyszewskiego St, PL-60355 Poznan, Poland

来源：

VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES | 2020年 / 15卷 / 04期

关键词：

anastomotic leakage; anal fistula; endoscopic vacuum therapy; negative pressure wound therapy; PRESSURE WOUND THERAPY; ASSISTED CLOSURE; FOAM;

D O I：

10.5114/wiitm.2020.93204

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Introduction: Anastomotic leaks remain the most fearful complications. Aim: We present a novel endoscopic salvage therapy known as endoscopic vacuum therapy with instillation (iEVT) as a combination of standard endoscopic vacuum therapy (EVT) and negative pressure wound therapy with instillation (iNPWT). Material and methods: A case series of 6 consecutive patients treated with iEVT is presented. A Redon drain and a central venous catheter were introduced within polyurethane foam used as a self-made device for iEVT and anti-microbial solution was instilled. Results: A total of 6 patients with the mean age of 29.5 +/- 8.9 were treated with iEVT. The mean number of iEVT sessions was 5.8 +/- 2.3. The mean time of iEVT management was 20.7 +/- 8.8 days. Locally, a reduction in purulent discharge and defect's dimension with contraction were revealed confirmed with imaging studies. Conclusions: iEVT is a very encouraging, novel method for complicated perianal diseases and anastomotic leak.

引用

页码：560 / 566

页数：7

共 15 条

[1] Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: A multicenter randomized controlled trial [J].