Perirectal abscess following procedure for prolapsed haemorrhoids successfully managed with a combination of VAC sponge and Redivac systems.

Active drains, which work from negative pressure effect, are commonly used to drain closed airtight wounds. Higher negative pressure is used in vacuum assisted wound closure (VAC) (usually -125 mmHg) dressings and in Redivac system (usually -300 mmHg). As far as we know, combinations of Redivac and VAC have not been used. The authors describe a novel combination using the sponge of the VAC dressing and sealed Redivac system to drain an open rectal wound, consequence of a perforation after stapled haemorrhoidopexy.