Start your free 3-day trial — no credit card required, full access included

Anatomy - Endoluminal Vacuum Therapy with the Endo-SPONGE® for the Treatment of Anastomotic Insufficiency of the Lower GI Tract

general and visceral surgery

Activate now

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Introduction

Authors

Date

date of publication: 14.12.2014
date of update: 11.03.2023

Introduction

The treatment of a presacral wound cavity in anastomotic leakage following a low rectal resection presents a challenge to avoid a permanent stoma.
With the increase in sphincter-preserving rectal resections, this issue is becoming more prominent. A clinically manifest anastomotic leakage is observed in up to 15% after anterior rectal resection. It represents the main cause of morbidity and mortality following this procedure.
The Endo-SPONGE® therapy is a minimally invasive method to treat the presacral wound cavity after anastomotic leakage.
This endocavitary or endoluminal vacuum principle, due to the reversal of pressure with drainage of the infection focus outward, is capable of revolutionizing the treatment of anastomotic leakage. Additionally, there are positive effects of vacuum therapy on wound healing.