Endo-vacuum assisted closure treatment for rectal anastomotic insufficiency

Diseases of the Colon and Rectum
Soeren Torge MeesMatthias Bruewer

Abstract

Anastomotic insufficiency in patients with colorectal anastomosis is a major complication with high morbidity and mortality. Local treatment with transrectal lavage and drainage can be considered in patient without peritonitis. In order to prevent prolonged wound closure and secondary complications during conservative treatment we investigated the vacuum assisted closure (VAC) in this setting. Ten patients with anastomotic insufficiency after colorectal resections, who did not require transabdominal interventions, were treated with an Endo-vacuum assisted closure dressing (Group A; n = 5) or by transrectal lavage (Group B; n = 5). Time for wound healing, duration of hospitalization and pain assessment were compared in both groups. The Endo-vacuum assisted closure treatment was performed for a median time of 27 days without any vacuum assisted closure associated complications. Wound healing was significantly accelerated in Group A compared to Group B. Time in hospital was slightly shortened in patients with Endo-vacuum assisted closure. Pain assessment in both groups did not show any significant differences. Endo-vacuum assisted closure therapy is a novel approach that can be considered in diverted patients with failed colorecta...Continue Reading

References

Apr 1, 1996·The British Journal of Surgery·I D AndersonI S Grant
Jul 1, 1996·Diseases of the Colon and Rectum·A M AverbachP H Sugarbaker
Apr 8, 1998·The British Journal of Surgery·E RullierM Parneix
Nov 21, 2002·The Annals of Thoracic Surgery·Tatjana M FleckMartin Grabenwoger
Nov 13, 2004·Diseases of the Colon and Rectum·David M SchaffzinLee E Smith
Dec 8, 2004·The British Journal of Surgery·K C M J PeetersUNKNOWN Dutch Colorectal Cancer Group
Oct 20, 2005·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A NesbakkenR Dullerud
Nov 18, 2005·Lancet·David G ArmstrongUNKNOWN Diabetic Foot Study Consortium
Apr 1, 2006·Zentralblatt für Chirurgie·R WeidenhagenK-W Jauch
Apr 25, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A KarliczekT Wiggers
Jun 27, 2006·Plastic and Reconstructive Surgery·Louis C ArgentaLisa R David
Sep 20, 2006·Langenbeck's Archives of Surgery·Ludwig Labler, Otmar Trentz

❮ Previous
Next ❯

Citations

Mar 31, 2010·Techniques in Coloproctology·A ArezzoM Morino
Nov 6, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·F J HoogenboomS A Koopal
Jul 24, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P J van KoperenW A Bemelman
Sep 22, 2010·World Journal of Gastroenterology : WJG·Stefan RissMichael Bergmann
Feb 18, 2014·Langenbeck's Archives of Surgery·Stefan SauerlandStefano Saad
Nov 1, 2012·Techniques in Coloproctology·D SrinivasamurthyJ Garner
Feb 23, 2013·Der Internist·J Wedemeyer, T Lankisch
Jul 27, 2015·Clinics and Research in Hepatology and Gastroenterology·Emanuele DabizziMichael B Wallace
Jan 25, 2014·Clinical and Translational Science·Laura H RosenbergerDaniel E Kleiner
Jan 8, 2015·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Alberto ArezzoMario Morino
Dec 17, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T J GardenbroekW A Bemelman
Aug 15, 2009·Magyar sebészet·György Lázár
May 15, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rudolf MennigenMike G Laukoetter
Mar 15, 2015·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Giuseppe StrangioAlessandro Repici
Dec 15, 2012·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·N AbildC B Nielsen
Jun 5, 2015·The Cochrane Database of Systematic Reviews·Jo C DumvilleZhenmi Liu
Jul 19, 2019·Therapeutic Advances in Gastrointestinal Endoscopy·Leonard T WalshMatthew T Moyer
May 8, 2020·Techniques in Coloproctology·B MahendranS Smolarek
Jul 6, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G I PopivanovM S Tabakov
Feb 5, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ahmet SürekHalil Aliş
Aug 30, 2021·International Journal of Colorectal Disease·Flavius Şandra-PetrescuFlorian Herrle
Oct 29, 2021·Der Anaesthesist·Georg Braun, Alexander Mück
Nov 25, 2021·International Journal of Colorectal Disease·Florian KühnJens Werner

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
T Mala, A Nesbakken
Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
A A KhanN J McC Mortensen
© 2021 Meta ULC. All rights reserved