Rectal perforation and perirectal abscess following stapled hemorrhoidectomy for prolapsed hemorrhoids successfully managed with Endo-SPONGE endoluminal vacuum-assisted wound closure system

Active drains, which work by negative pressure, are commonly used to drain closed airtight wounds. Higher negative pressure is used in vacuum-assisted wound closure dressings. Gastrointestinal leaks may be difficult to treat by surgical approach because of their association with high morbidity and m...

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Main Authors: Emanuele Rosati, Manuel Valeri, Luigina Graziosi, Lavinia Amato, Stefano Avenia, Annibale Donini
Format: Article
Language:English
Published: Korean Society of Coloproctology 2022-10-01
Series:Annals of Coloproctology
Subjects:
Online Access:http://coloproctol.org/upload/pdf/ac-2021-02-07.pdf
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author Emanuele Rosati
Manuel Valeri
Luigina Graziosi
Lavinia Amato
Stefano Avenia
Annibale Donini
author_facet Emanuele Rosati
Manuel Valeri
Luigina Graziosi
Lavinia Amato
Stefano Avenia
Annibale Donini
author_sort Emanuele Rosati
collection DOAJ
description Active drains, which work by negative pressure, are commonly used to drain closed airtight wounds. Higher negative pressure is used in vacuum-assisted wound closure dressings. Gastrointestinal leaks may be difficult to treat by surgical approach because of their association with high morbidity and mortality. Recently, endoscopic approaches have been applied with several degrees of success. Most recently, endoluminal vacuum-assisted wound closure (EVAC) has been employed with high success rates in decreasing both morbidity and mortality. In the present paper, the authors describe the successful use of Endo-SPONGE (B. Braun Medical B.V.) EVAC system therapy to drain an open rectal wound, following a perforation occurred during stapled hemorrhoidectomy.
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spelling doaj.art-8ac3b28964754da682c428925c7539f72022-12-22T03:43:51ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222022-10-0138538739010.3393/ac.2021.02.071814Rectal perforation and perirectal abscess following stapled hemorrhoidectomy for prolapsed hemorrhoids successfully managed with Endo-SPONGE endoluminal vacuum-assisted wound closure systemEmanuele Rosati0Manuel ValeriLuigina Graziosi1Lavinia Amato2Stefano Avenia3Annibale Donini4 Department of Surgery, School of Medicine, University of Perugia, Perugia, Italy Department of Surgery, School of Medicine, University of Perugia, Perugia, Italy Department of Surgery, School of Medicine, University of Perugia, Perugia, Italy Department of Surgery, School of Medicine, University of Perugia, Perugia, Italy Department of Surgery, School of Medicine, University of Perugia, Perugia, ItalyActive drains, which work by negative pressure, are commonly used to drain closed airtight wounds. Higher negative pressure is used in vacuum-assisted wound closure dressings. Gastrointestinal leaks may be difficult to treat by surgical approach because of their association with high morbidity and mortality. Recently, endoscopic approaches have been applied with several degrees of success. Most recently, endoluminal vacuum-assisted wound closure (EVAC) has been employed with high success rates in decreasing both morbidity and mortality. In the present paper, the authors describe the successful use of Endo-SPONGE (B. Braun Medical B.V.) EVAC system therapy to drain an open rectal wound, following a perforation occurred during stapled hemorrhoidectomy.http://coloproctol.org/upload/pdf/ac-2021-02-07.pdfhemorrhoidectomysurgical staplingrectal fistulanegative-pressure wound therapycase report
spellingShingle Emanuele Rosati
Manuel Valeri
Luigina Graziosi
Lavinia Amato
Stefano Avenia
Annibale Donini
Rectal perforation and perirectal abscess following stapled hemorrhoidectomy for prolapsed hemorrhoids successfully managed with Endo-SPONGE endoluminal vacuum-assisted wound closure system
Annals of Coloproctology
hemorrhoidectomy
surgical stapling
rectal fistula
negative-pressure wound therapy
case report
title Rectal perforation and perirectal abscess following stapled hemorrhoidectomy for prolapsed hemorrhoids successfully managed with Endo-SPONGE endoluminal vacuum-assisted wound closure system
title_full Rectal perforation and perirectal abscess following stapled hemorrhoidectomy for prolapsed hemorrhoids successfully managed with Endo-SPONGE endoluminal vacuum-assisted wound closure system
title_fullStr Rectal perforation and perirectal abscess following stapled hemorrhoidectomy for prolapsed hemorrhoids successfully managed with Endo-SPONGE endoluminal vacuum-assisted wound closure system
title_full_unstemmed Rectal perforation and perirectal abscess following stapled hemorrhoidectomy for prolapsed hemorrhoids successfully managed with Endo-SPONGE endoluminal vacuum-assisted wound closure system
title_short Rectal perforation and perirectal abscess following stapled hemorrhoidectomy for prolapsed hemorrhoids successfully managed with Endo-SPONGE endoluminal vacuum-assisted wound closure system
title_sort rectal perforation and perirectal abscess following stapled hemorrhoidectomy for prolapsed hemorrhoids successfully managed with endo sponge endoluminal vacuum assisted wound closure system
topic hemorrhoidectomy
surgical stapling
rectal fistula
negative-pressure wound therapy
case report
url http://coloproctol.org/upload/pdf/ac-2021-02-07.pdf
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