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- Title
Endoscopic vacuum therapy with instillation (iEVT) - a novel endoscopic concept for colorectal anastomotic leak and perianal complications.
- Authors
Bobkiewicz, Adam; Krokowicz, Lukasz; Banasiewicz, Tomasz; Borejsza-Wysocki, Maciej
- Abstract
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 6 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.
- Subjects
NEGATIVE-pressure wound therapy; CENTRAL venous catheters; VACUUM; URETHANE foam
- Publication
Videosurgery & Other Miniinvasive Techniques / Wideochirurgia i Inne Techniki Mało Inwazyjne, 2020, Vol 15, Issue 4, p560
- ISSN
1895-4588
- Publication type
Article
- DOI
10.5114/wiitm.2020.93204