M Kantowski1, A Kunze2. 1. Universitätsklinikum Hamburg-Eppendorf, Klinik für Interdisziplinäre Endoskopie, Martinistr. 52, 20246, Hamburg, Deutschland. m.kantowski@uke.de. 2. Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Jena, Deutschland.
Abstract
BACKGROUND: Endoscopic vacuum therapy is a widespread method in the postoperative treatment of lower and upper gastrointestinal (GI) tract leakage. OBJECTIVE: There is an absence of further technical development of the standardized material from 2007 for the lower GI tract. MATERIAL AND METHODS: New strategies and new materials for endoscopic vacuum therapy are presented. RESULTS: Alternative strategies in sponge placement, use of open-pore film drainage, use of a multiple sponge system, rinsing catheter, electronic pumps etc. enable the successful treatment of very complex pelvic defects. CONCLUSION: The wide variability of pelvic defects often necessitates a change in therapeutic strategies during the course of treatment for an optimized outcome.
BACKGROUND: Endoscopic vacuum therapy is a widespread method in the postoperative treatment of lower and upper gastrointestinal (GI) tract leakage. OBJECTIVE: There is an absence of further technical development of the standardized material from 2007 for the lower GI tract. MATERIAL AND METHODS: New strategies and new materials for endoscopic vacuum therapy are presented. RESULTS: Alternative strategies in sponge placement, use of open-pore film drainage, use of a multiple sponge system, rinsing catheter, electronic pumps etc. enable the successful treatment of very complex pelvic defects. CONCLUSION: The wide variability of pelvic defects often necessitates a change in therapeutic strategies during the course of treatment for an optimized outcome.
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