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

Adam Bobkiewicz; Lukasz Krokowicz; Tomasz Banasiewicz; Maciej Borejsza-Wysocki

doi:10.5114/wiitm.2020.93204

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abstract:

Original paper

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

Adam Bobkiewicz

¹

,

Lukasz Krokowicz

¹

,

Tomasz Banasiewicz

¹

,

Maciej Borejsza-Wysocki

¹

Department of General, Endocrinological and Gastroenterological Oncology Surgery, Poznan University of Medical Sciences, Poznan, Poland

Videosurgery Miniinv 2020; 15 (4): 560–566

DOI: https://doi.org/10.5114/wiitm.2020.93204

Online publish date: 2020/02/24

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AMA

Bobkiewicz A, Krokowicz L, Banasiewicz T, Borejsza-Wysocki M. Endoscopic vacuum therapy with instillation (iEVT) – a novel endoscopic concept for colorectal anastomotic leak and perianal complications. Videosurgery and Other Miniinvasive Techniques. 2020;15(4):560-566. doi:10.5114/wiitm.2020.93204.

APA

Bobkiewicz, A., Krokowicz, L., Banasiewicz, T.,  & Borejsza-Wysocki, M. (2020). Endoscopic vacuum therapy with instillation (iEVT) – a novel endoscopic concept for colorectal anastomotic leak and perianal complications. Videosurgery and Other Miniinvasive Techniques, 15(4), 560-566. https://doi.org/10.5114/wiitm.2020.93204

Chicago

Bobkiewicz, Adam, Lukasz Krokowicz, Tomasz Banasiewicz,  and Maciej Borejsza-Wysocki. 2020. "Endoscopic vacuum therapy with instillation (iEVT) – a novel endoscopic concept for colorectal anastomotic leak and perianal complications". Videosurgery and Other Miniinvasive Techniques 15 (4): 560-566. doi:10.5114/wiitm.2020.93204.

Harvard

Bobkiewicz, A., Krokowicz, L., Banasiewicz, T.,  and Borejsza-Wysocki, M. (2020). Endoscopic vacuum therapy with instillation (iEVT) – a novel endoscopic concept for colorectal anastomotic leak and perianal complications. Videosurgery and Other Miniinvasive Techniques, 15(4), pp.560-566. https://doi.org/10.5114/wiitm.2020.93204

MLA

Bobkiewicz, Adam et al. "Endoscopic vacuum therapy with instillation (iEVT) – a novel endoscopic concept for colorectal anastomotic leak and perianal complications." Videosurgery and Other Miniinvasive Techniques, vol. 15, no. 4, 2020, pp. 560-566. doi:10.5114/wiitm.2020.93204.

Vancouver

Bobkiewicz A, Krokowicz L, Banasiewicz T, Borejsza-Wysocki M. Endoscopic vacuum therapy with instillation (iEVT) – a novel endoscopic concept for colorectal anastomotic leak and perianal complications. Videosurgery and Other Miniinvasive Techniques. 2020;15(4):560-566. doi:10.5114/wiitm.2020.93204.

PlumX metrics:

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 antimicrobial solution was instilled.

Results
A total of six 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.

keywords:

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

Adam Bobkiewicz 1 , Lukasz Krokowicz 1 , Tomasz Banasiewicz 1 , Maciej Borejsza-Wysocki 1

anastomotic leakage, anal fistula, endoscopic vacuum therapy, negative pressure wound therapy

Adam Bobkiewicz

¹

,

Lukasz Krokowicz

¹

,

Tomasz Banasiewicz

¹

,

Maciej Borejsza-Wysocki

¹