Endo-SPONGE® endoluminal vacuum therapy in lower GI tract staple line failure - general and visceral surgery

The baseline situation is as follows:
There is a colonic J-pouch with colonic pouch-anal anastomosis. At the blind end of the pouch, suture line failure has resulted in a greasy largish wound cavity.

The wound presented in step 1 was treated with an Endo-SPONGE®, which now needs to be replaced.
First, check the sponge position with an endoscope. Then disconnect the system from the vacuum by disconnecting the drainage tube and setting the suction to zero. Now disconnect the draining tube at the Y-connector. After opening the application set, remove the syringe and dilator to irrigate the sponge. Insert the dilator into the tube and attach the syringe. Irrigate the sponge by instilling physiological saline or, as in this example, simethicone, a liquid defoamer, and pull.