Vacuum assisted closure system in the management of cervical anastomotic leakage after gastric pull-up.
We propose the use of the vacuum assisted closure (VAC) system for the management of cervical anastomotic leakage after esophagectomy and reconstruction by gastric pull-up. The VAC system converts the open cervical wound into a controlled closed wound with major advantages: No need of a nasogastric tube for decompression, no need of a nasoenteric tube for feeding because of the possibility to maintain a semisolid oral diet and no need of frequent daily changes of dressings.
Department of Plastic and Reconstructive Surgery, University Medical School, University Medical School, Auenbruggerplatz 29, A-8036 Graz, Austria.
M
M
Schintler
A
A
Maier
V
V
Matzi
F M
FM
Smolle-Jüttner