Endoscopic vacuum therapy with instillation (iEVT) - a novel endoscopic concept for colorectal anastomotic leak and perianal complications.
anal fistula
anastomotic leakage
endoscopic vacuum therapy
negative pressure wound therapy
Journal
Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques
ISSN: 1895-4588
Titre abrégé: Wideochir Inne Tech Maloinwazyjne
Pays: Poland
ID NLM: 101283175
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
29
07
2019
accepted:
11
01
2020
entrez:
9
12
2020
pubmed:
10
12
2020
medline:
10
12
2020
Statut:
ppublish
Résumé
Anastomotic leaks remain the most fearful complications. 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). 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. 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. iEVT is a very encouraging, novel method for complicated perianal diseases and anastomotic leak.
Identifiants
pubmed: 33294070
doi: 10.5114/wiitm.2020.93204
pii: 39954
pmc: PMC7687668
doi:
Types de publication
Journal Article
Langues
eng
Pagination
560-566Informations de copyright
Copyright: © 2020 Fundacja Videochirurgii.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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