title: Effectiveness of Endoluminal Vacuum-assisted Closure Therapy (Endosponge) for the Treatment of Pelvic Anastomotic Leakage After Colorectal Surgery.
abstract: Anastomotic leakage is a serious complication with significant morbidity and mortality. The popularity of endoscopic treatment (Endo-SPONGE) is increasing for distally located colorectal pouch-anal anastomotic leakages. This was a retrospective study of 15 cases involving the application of the Endo-SPONGE for anastomotic leakage following proctectomy between May 2009 and May 2014. Of the 15 cases, lower anterior resection occurred in 12 cases (80%), and pouch-anal anastomosis in 3 cases (18%). In 8 patients (55%), the endosponge was applied during the early term, and in 7 patients (45%) during the late term. The average number of applications was 2.2 (range, 1 to 5). Treatment was discontinued due to the progression of pelvic sepsis in 2 patients and due to bleeding in 1 patient. Lumen integrity was achieved in 12 cases. Lumen integrity after anastomotic leakages can be preserved by endoluminal vacuum therapy, which permits the closure of the stoma without requiring reconstructive surgery.
authors.affiliation: *Department of General Surgery, Istanbul University, School of Medicine †Department of General Surgery, Koc University School of Medicine, Istanbul, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Keskin
authors.forename: Onur
authors.initials: O
authors.lastname: Bayram
authors.forename: Türker
authors.initials: T
authors.lastname: Bulut
authors.forename: Emre
authors.initials: E
authors.lastname: Balik
mesh_terms: D000328:Adult; D000368:Aged; D057868:Anastomotic Leak / Q000209:etiology / Q000628:therapy*; D003082:Colectomy / Q000009:adverse effects; D015179:Colorectal Neoplasms / Q000601:surgery*; D004766:Enterostomy / Q000009:adverse effects; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D012189:Retrospective Studies; D015503:Surgical Sponges; D016896:Treatment Outcome; D055815:Young Adult