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4/2020
vol. 15
abstract:
Original paper
Endoscopic vacuum therapy with instillation (iEVT) – a novel endoscopic concept for colorectal anastomotic leak and perianal complications
Maciej Borejsza-Wysocki
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Department of General, Endocrinological and Gastroenterological Oncology Surgery, Poznan University of Medical Sciences, Poznan, Poland
Videosurgery Miniinv 2020; 15 (4): 560–566
Online publish date: 2020/02/24
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:
anastomotic leakage, anal fistula, endoscopic vacuum therapy, negative pressure wound therapy
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