eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
Current issue Archive Videoforum Manuscripts accepted About the journal Supplements Editorial board Journal's reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
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4/2020
vol. 15
 
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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

1.
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
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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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