eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2015
vol. 10
 
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abstract:
Case report

Endoscopic vacuum-assisted closure system (E-VAC): case report and review of the literature

Maciej Borejsza-Wysocki
,
Krzysztof Szmyt
,
Adam Bobkiewicz
,
Stanisław Malinger
,
Józef Świrkowicz
,
Jacek Hermann
,
Michał Drews
,
Tomasz Banasiewicz

Videosurgery Miniinv 2015; 10 (2): 299–310
Online publish date: 2015/06/08
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Negative pressure wound therapy (NPWT) has become a standard in the treatment of chronic and difficult healing wounds. Negative pressure wound therapy is applied to the wound via a special vacuum-sealed sponge. Nowadays, the endoscopic vacuum-assisted wound closure system (E-VAC) has been proven to be an important alternative in patients with upper and lower intestinal leakage not responding to standard endoscopic and/or surgical treatment procedures. Endoscopic vacuum-assisted wound closure system provides perfect wound drainage and closure of various kinds of defect and promotes tissue granulation. Our experience has shown that E-VAC may significantly improve the morbidity and mortality rate. Moreover, E-VAC may be useful in a multidisciplinary approach – from upper gastrointestinal to rectal surgery complications. On the other hand, major limitations of the E-VAC system are the necessity of repeated endoscopic interventions and constant presence of well-trained staff. Further, large-cohort studies need to be performed to establish the applicability and effectiveness of E-VAC before routine widespread use can be recommended.
keywords:

endoscopic vacuum-assisted wound closure system, Endo-Sponge, vacuum-assisted wound closure therapy, eosophageal leakage, rectal anastomotic leakage, pancreatico-gastric anastomotic insufficiency

  
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