Endoluminal vacuum-assisted closure for penetrating rectal injury in a pediatric patient
Purpose: Endoluminal Vacuum-assisted closure therapy (EVT) has been employed to assist in closure of rectal defects with high success rates. Most of the literature is focused on the use of EVT after anastomotic leaks, and has been limited in the pediatric population to esophageal defects. We describ...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-07-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576621001068 |
| _version_ | 1819081813279113216 |
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| author | Ashley Althoff Corey Baker James M. Healy |
| author_facet | Ashley Althoff Corey Baker James M. Healy |
| author_sort | Ashley Althoff |
| collection | DOAJ |
| description | Purpose: Endoluminal Vacuum-assisted closure therapy (EVT) has been employed to assist in closure of rectal defects with high success rates. Most of the literature is focused on the use of EVT after anastomotic leaks, and has been limited in the pediatric population to esophageal defects. We describe a case report of the successful use of EVT in a penetrating rectal injury in a pediatric patient. Results: The patient is a 15-year-old male who suffered a traumatic 6 cm full thickness penetrating anorectal injury, initially treated with fecal diversion, pre-sacral drainage, and distal rectal washout. He developed worsening pre-sacral abscess and was subsequently treated with EVT for 10 weeks with successful closure of the defect. Upon completion, he had restoration of intestinal continuity and maintained fecal continence. Conclusions: EVT can be used to successfully manage penetrating rectal injuries in the pediatric population. This can avoid extensive surgical resection or permanent ostomy and help control sepsis. |
| first_indexed | 2024-12-21T20:06:44Z |
| format | Article |
| id | doaj.art-82eb9639d1764ea095d47d6e368ecfda |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-21T20:06:44Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-82eb9639d1764ea095d47d6e368ecfda2022-12-21T18:51:50ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662021-07-0170101885Endoluminal vacuum-assisted closure for penetrating rectal injury in a pediatric patientAshley Althoff0Corey Baker1James M. Healy2University of Connecticut School of Medicine: Department of Surgery, 263 Farmington Ave, Farmington, CT, 06030, USAConnecticut Children's, 282 Washington St. Suite 1H, Hartford, CT, 06106, USAUniversity of Connecticut School of Medicine: Department of Surgery, 263 Farmington Ave, Farmington, CT, 06030, USA; Connecticut Children's, 282 Washington St. Suite 1H, Hartford, CT, 06106, USA; Corresponding author. University of Connecticut School of Medicine: Department of Surgery, 263 Farmington Ave, Farmington, CT, 06030, USA.Purpose: Endoluminal Vacuum-assisted closure therapy (EVT) has been employed to assist in closure of rectal defects with high success rates. Most of the literature is focused on the use of EVT after anastomotic leaks, and has been limited in the pediatric population to esophageal defects. We describe a case report of the successful use of EVT in a penetrating rectal injury in a pediatric patient. Results: The patient is a 15-year-old male who suffered a traumatic 6 cm full thickness penetrating anorectal injury, initially treated with fecal diversion, pre-sacral drainage, and distal rectal washout. He developed worsening pre-sacral abscess and was subsequently treated with EVT for 10 weeks with successful closure of the defect. Upon completion, he had restoration of intestinal continuity and maintained fecal continence. Conclusions: EVT can be used to successfully manage penetrating rectal injuries in the pediatric population. This can avoid extensive surgical resection or permanent ostomy and help control sepsis.http://www.sciencedirect.com/science/article/pii/S2213576621001068Rectal perforationEndoluminal vacuumPediatric |
| spellingShingle | Ashley Althoff Corey Baker James M. Healy Endoluminal vacuum-assisted closure for penetrating rectal injury in a pediatric patient Journal of Pediatric Surgery Case Reports Rectal perforation Endoluminal vacuum Pediatric |
| title | Endoluminal vacuum-assisted closure for penetrating rectal injury in a pediatric patient |
| title_full | Endoluminal vacuum-assisted closure for penetrating rectal injury in a pediatric patient |
| title_fullStr | Endoluminal vacuum-assisted closure for penetrating rectal injury in a pediatric patient |
| title_full_unstemmed | Endoluminal vacuum-assisted closure for penetrating rectal injury in a pediatric patient |
| title_short | Endoluminal vacuum-assisted closure for penetrating rectal injury in a pediatric patient |
| title_sort | endoluminal vacuum assisted closure for penetrating rectal injury in a pediatric patient |
| topic | Rectal perforation Endoluminal vacuum Pediatric |
| url | http://www.sciencedirect.com/science/article/pii/S2213576621001068 |
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