Introduction of a Handmade Vacuum-Assisted Sponge Drain for the Treatment of Anastomotic Leakage After Low Anterior Rectal Resection

Introduction of a Handmade Vacuum-Assisted Sponge Drain for the Treatment of Anastomotic Leakage After Low Anterior Rectal Resection Publisher

Keshvari A¹ ; Badripour A² ; Keramati MR¹ ; Kazemeini A¹ ; Behboudi B¹ ; Fazeli MS¹ ; Rahimpour E³ ; Ghaffari P⁴ ; Tafti SMA¹

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1. Disivion of Colorectal Surgery, Department of Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
2. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
3. Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
4. Hematology, Oncology and Stem Cell Transplantation Research Center, Shariati Hospital affiliated with Tehran University of Medical Sciences, Tehran, Iran

Source: Annals of Coloproctology Published:2022

Abstract

Purpose: Anastomotic leakage, a known major postoperative complication, potentially leads to readmission, reoperation, and increased mortality rates in patients, such as rectal cancer patients following a low anterior resection (LAR). Currently, vacuum-assisted closure, as featured by B-Braun (B-Braun Medical B.V.), is already being used for the treatment of gastrointestinal leakages and fistulas. The main aim of this study was to introduce a novel method for creating a vacuum-assisted drain for the treatment of anastomotic leakage after LAR. Methods: All 10 patients, who underwent LAR surgery from 2018 to 2019, were diagnosed with anastomotic leakage and had received neoadjuvant chemotherapy prior to surgery. Therefore, patients were treated with a handmade vacuum-assisted drain and were revisited every 5 to 7 days for further evaluations and drain replacement until leakage resolution. Physical features of cavity, time of diagnose, and duration of treatment were analyzed correspondingly. The handmade vacuum-assisted sponge drain was prepared for each patient in each session of follow-up. Results: Eight out of 10 patients experienced complete closure of the defect. The mean delay time from the day of operation to the diagnosis of anastomotic leakage was 61.0±80.4 days while the mean time for leakage closure was 117.6±68.3 days. Eventually, 7 cases underwent ileostomy reversal with no complications during a 3-month follow-up. Conclusion: In this study, we evaluated the healing process of anastomotic leakage after the usage of a handmade vacuum-assisted sponge drain in a case series method. In our trial, we provided an innovative cost-benefit method easily applicable in the operating room. © 2022 The Korean Society of Coloproctology.

2. A Case of Penetrating Rectal Trauma Successfully Treated With Endo-Sponge and Diversion Colostomy, Indian Journal of Surgery (2021)

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Behnam Behboudi (2)

Seyed Mohsen Ahmadi Tafti (2)

Style	Citing Format
MLA	Keshvari A, et al.. "Introduction of a Handmade Vacuum-Assisted Sponge Drain for the Treatment of Anastomotic Leakage After Low Anterior Rectal Resection." Annals of Coloproctology, vol. 38, no. 3, 2022, pp. 230-234.
APA	Keshvari A, Badripour A, Keramati MR, Kazemeini A, Behboudi B, Fazeli MS, Rahimpour E, Ghaffari P, Tafti SMA (2022). Introduction of a Handmade Vacuum-Assisted Sponge Drain for the Treatment of Anastomotic Leakage After Low Anterior Rectal Resection. Annals of Coloproctology, 38(3), 230-234.
Chicago	Keshvari A, Badripour A, Keramati MR, Kazemeini A, Behboudi B, Fazeli MS, Rahimpour E, Ghaffari P, Tafti SMA. "Introduction of a Handmade Vacuum-Assisted Sponge Drain for the Treatment of Anastomotic Leakage After Low Anterior Rectal Resection." Annals of Coloproctology 38, no. 3 (2022): 230-234.
Harvard	Keshvari A et al. (2022) 'Introduction of a Handmade Vacuum-Assisted Sponge Drain for the Treatment of Anastomotic Leakage After Low Anterior Rectal Resection', Annals of Coloproctology, 38(3), pp. 230-234.
Vancouver	Keshvari A, Badripour A, Keramati MR, Kazemeini A, Behboudi B, Fazeli MS, et al.. Introduction of a Handmade Vacuum-Assisted Sponge Drain for the Treatment of Anastomotic Leakage After Low Anterior Rectal Resection. Annals of Coloproctology. 2022;38(3):230-234.
BibTex	@article{ author = {Keshvari A and Badripour A and Keramati MR and Kazemeini A and Behboudi B and Fazeli MS and Rahimpour E and Ghaffari P and Tafti SMA}, title = {Introduction of a Handmade Vacuum-Assisted Sponge Drain for the Treatment of Anastomotic Leakage After Low Anterior Rectal Resection}, journal = {Annals of Coloproctology}, volume = {38}, number = {3}, pages = {230-234}, year = {2022} }
RIS	TY - JOUR AU - Keshvari A AU - Badripour A AU - Keramati MR AU - Kazemeini A AU - Behboudi B AU - Fazeli MS AU - Rahimpour E AU - Ghaffari P AU - Tafti SMA TI - Introduction of a Handmade Vacuum-Assisted Sponge Drain for the Treatment of Anastomotic Leakage After Low Anterior Rectal Resection JO - Annals of Coloproctology VL - 38 IS - 3 SP - 230 EP - 234 PY - 2022 ER -

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