Endo-SPONGE® Endoluminal Vacuum Therapy

Endo-SPONGE® There is another option

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After a colorectal surgery, up to 19% of the patients are diagnosed with an anastomotic leakage. [1] This leakages are associated with high morbidity and mortality. [2] There is a wide range of risk factors that must be considered. [3]

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 leaakges (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. [2]

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. [4] It consists in vacuum-assisted closure and functions with an applied suction via open-cell foam. This is what Endo-SPONGE® is, 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. [6]

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Any questions about the colorectal leakage treatment with Endo-SPONGE®?
B. Braun Surgical S.A.
Carretera de Terrassa, 121
08191 Rubí (Barcelona)
Spain

[1] Riss S, Stift A, Meier M, Haiden E, Grünberger T, Bergmann M. Endo-SPONGE® assisted treatment of anatomotic leakage following colorectal surgery. Colorectal Dis. 2010 Jul;12 (7 Online):e104-8. more on Pubmed
[2] Mees ST, Palmes D, Mennigen R, Senninger N, Haier J, Bruewer M. Endo-vacuum assisted closure treatment for rectal anastomotic insufficiency. Diseases Colon Rectum. 2008 Apr;51(4):404-10. more on Pubmed
[3] Frasson M, Flor-Lorente B, Ramos Rodrıguez JL et al., ANACO study Group. Risk factors for anastomotic leak after colon resection for cancer: multivariate analysis and nomogram from a multicentric, prospective, national study with 3193 patients. Ann Surg 2015; 262: 321–30. more on Pubmed
[4] Kuehn F, Janisch F, Schwandner F, Alsfasser G, Schiffnann L, Gock M, Klar E. Endoscopic Vacuum Therapy in Colorectal Surgery. J Gastrointest Surg. 2016 Feb;20(2):328-34. more on Pubmed
[5] Weidenhagen R, Gruetzner KU, Wiecken T, Spelsberg F, Jauch KW. Endoscopic vacuum-assisted closure of anatomotic leakage following anterior resection of the rectum: a new method. Surg Endosc. 2008 Aug;22(8):1818-25. more on Pubmed
[6] Argenta LC, Morykwas MJ (1997) Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg 38:563–576 (Book) Prevention, diagnosis and management of colorectal anastomotic leakage, ACPGBI, March 2016. more on Pubmed