The treatment of anastomotic post-esophagectomy leaks and fistula is challenging. Endoluminal vacuum-assisted closure (EVAC) is an emerging technique that employs negative pressure wound therapy to treat anastomotic leaks endoscopically. Esosponge is specifically designed for esophageal EVAC therapy. We report on a 49-year-old woman who underwent a totally mini-invasive Ivor-Lewis esophagectomy and developed a giant postoperative leak with a complex pleural collection, but she was not fit for surgical re-intervention. The patient healed almost completely after 14 exchange sessions of Esosponge over 35 days.
A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report / Mandarino, Francesco Vito; Bonura, Giuliano Francesco; Esposito, Dario; Rosati, Riccardo; Parise, Paolo; Fanti, Lorella. - In: JOURNAL OF SURGICAL CASE REPORTS. - ISSN 2042-8812. - 2020:(2020), pp. 1-4. [10.1093/jscr/rjaa071]
A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report
Mandarino, Francesco Vito
Primo
;Bonura, Giuliano FrancescoSecondo
;Rosati, Riccardo;
2020-01-01
Abstract
The treatment of anastomotic post-esophagectomy leaks and fistula is challenging. Endoluminal vacuum-assisted closure (EVAC) is an emerging technique that employs negative pressure wound therapy to treat anastomotic leaks endoscopically. Esosponge is specifically designed for esophageal EVAC therapy. We report on a 49-year-old woman who underwent a totally mini-invasive Ivor-Lewis esophagectomy and developed a giant postoperative leak with a complex pleural collection, but she was not fit for surgical re-intervention. The patient healed almost completely after 14 exchange sessions of Esosponge over 35 days.File | Dimensione | Formato | |
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