New strategies and materials in endoscopic vacuum therapy in the lower gastrointestinal tract

被引：10

作者：

Kantowski, M. ^{[1
]}

Kunze, A. ^{[2
]}

机构：

[1] Univ Klinikum Hamburg Eppendorf, Klin Interdisziplinare Endoskopie, Martinistr 52, D-20246 Hamburg, Germany

[2] Univ Klinikum Jena, Klin Allgemein Viszeral & Gefasschirurg, Jena, Germany

来源：

CHIRURG | 2018年 / 89卷 / 12期

关键词：

Postoperative leakage; Open-pore film; Sponge application; Multiple sponge system; Anastomotic leakage; RECTAL ANASTOMOTIC LEAKS; ENDO-SPONGE TREATMENT; MANAGEMENT; CLOSURE; RESECTION; LEAKAGES;

D O I：

10.1007/s00104-018-0740-0

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background. Endoscopic vacuum therapy is a widespread method in the postoperative treatment of lower and upper gastrointestinal (GI) tract leakage. Objective. There is an absence of further technical development of the standardized material from 2007 for the lower GI tract. Material and methods. New strategies and new materials for endoscopic vacuum therapy are presented. Results. Alternative strategies in sponge placement, use of open-pore film drainage, use of a multiple sponge system, rinsing catheter, electronic pumps etc. enable the successful treatment of very complex pelvic defects. Conclusion. The wide variability of pelvic defects often necessitates a change in therapeutic strategies during the course of treatment for an optimized outcome.

引用

页码：960 / 968

页数：9

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