Endo-SPONGE® Endoluminal Vacuum Therapy

Endo-SPONGE® There is another option

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Minimally invasive method for the treatment of anastomotic leakage in the colorectal area


After a colorectal surgery, up to 19% of the patients are diagnosed with an anastomotic leakage. [6] These leakages are associated with high morbidity and mortality. [3] There is a wide range of risk factors that must be considered. [14]

The Association of Coloproctology Great Britain and Ireland states that despite the gravity of the complication and potential sequelae, data regarding risk factors and optimal perioperative management of anastomotic leakages (ALs) are relatively poor. The treatment for patients without clinical signs of peritonitis has traditionally been antibiotics and transrectal rinsing and drainage, and if sepsis is not controlled, then major surgery with debridement and permanent stoma creation. [3]

But there is another available option for treatment when the leakage is localized in the lower pelvic area (extra peritoneal position) and there are signs of localized peritonitis of the lower abdomen. [12] It consists in vacuum-assisted closure and functions with an applied suction via open-cell foam. It's a foam sponge placed into the wound which applies a controlled pressure [5] helping removal of fluid and edema from the wound. This also increases local blood flow, reduces the bacterial load and stimulates growth of granulation tissue. [15]

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