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The Dutch multicenter experience of the Endo-Sponge treatment for anastomotic leakage after colorectal surgery
BACKGROUND: Anastomotic leakage is a feared complication following colorectal surgery and is associated with early and long-term morbidity and mortality. The presacral cavity as the result of leakage can be treated with an endo-sponge (B-Braun Medical). The aim of this study was to assess the effect...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Springer-Verlag
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2686802/ https://www.ncbi.nlm.nih.gov/pubmed/19037698 http://dx.doi.org/10.1007/s00464-008-0186-4 |
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author | van Koperen, P. J. van Berge Henegouwen, M. I. Rosman, C. Bakker, C. M. Heres, P. Slors, J. F. M. Bemelman, W. A. |
author_facet | van Koperen, P. J. van Berge Henegouwen, M. I. Rosman, C. Bakker, C. M. Heres, P. Slors, J. F. M. Bemelman, W. A. |
author_sort | van Koperen, P. J. |
collection | PubMed |
description | BACKGROUND: Anastomotic leakage is a feared complication following colorectal surgery and is associated with early and long-term morbidity and mortality. The presacral cavity as the result of leakage can be treated with an endo-sponge (B-Braun Medical). The aim of this study was to assess the effectiveness of endo-sponge treatment of the presacral cavity as the result of anastomotic leakage in the Netherlands. METHODS: Between July 2006 and April 2008, 16 patients (M/F = 9:7) with median age 64 years (range 19–78 years) who underwent surgery for rectal cancer (n = 13) or ulcerative colitis (n = 3) were treated with the endo-sponge treatment after anastomotic leakage. RESULTS: Of the 16 patients, eight patients started with the endo-sponge treatment within 6 weeks after the initial surgery. In these patients the endo-sponge was placed after a median of 24 days (range 13–39 days) following surgery. In the remaining eight patients the endo-sponge treatment was started later than 6 weeks after the initial surgery. In this group there was a median of 74 days (range 43–1,602 days) between surgery and the start of endo-sponge placement. There was closure in six out of eight patients (75%) in the group that started with the endo-sponge treatment within 6 weeks of surgery compared with three out of eight patients (38%) in the group that started later (p = 0.315). Closure was achieved in a median of 40 (range 28–90) days with a median number of 13 sponge replacements (range 8–17). CONCLUSIONS: Endo-sponge placement can be helpful in the treatment for anastomotic leakage after colorectal surgery and might prevent a chronic presacral sinus. However, it is not yet clear if this new treatment modality results in quicker healing. |
format | Text |
id | pubmed-2686802 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-26868022009-05-29 The Dutch multicenter experience of the Endo-Sponge treatment for anastomotic leakage after colorectal surgery van Koperen, P. J. van Berge Henegouwen, M. I. Rosman, C. Bakker, C. M. Heres, P. Slors, J. F. M. Bemelman, W. A. Surg Endosc Article BACKGROUND: Anastomotic leakage is a feared complication following colorectal surgery and is associated with early and long-term morbidity and mortality. The presacral cavity as the result of leakage can be treated with an endo-sponge (B-Braun Medical). The aim of this study was to assess the effectiveness of endo-sponge treatment of the presacral cavity as the result of anastomotic leakage in the Netherlands. METHODS: Between July 2006 and April 2008, 16 patients (M/F = 9:7) with median age 64 years (range 19–78 years) who underwent surgery for rectal cancer (n = 13) or ulcerative colitis (n = 3) were treated with the endo-sponge treatment after anastomotic leakage. RESULTS: Of the 16 patients, eight patients started with the endo-sponge treatment within 6 weeks after the initial surgery. In these patients the endo-sponge was placed after a median of 24 days (range 13–39 days) following surgery. In the remaining eight patients the endo-sponge treatment was started later than 6 weeks after the initial surgery. In this group there was a median of 74 days (range 43–1,602 days) between surgery and the start of endo-sponge placement. There was closure in six out of eight patients (75%) in the group that started with the endo-sponge treatment within 6 weeks of surgery compared with three out of eight patients (38%) in the group that started later (p = 0.315). Closure was achieved in a median of 40 (range 28–90) days with a median number of 13 sponge replacements (range 8–17). CONCLUSIONS: Endo-sponge placement can be helpful in the treatment for anastomotic leakage after colorectal surgery and might prevent a chronic presacral sinus. However, it is not yet clear if this new treatment modality results in quicker healing. Springer-Verlag 2008-11-27 2009-06 /pmc/articles/PMC2686802/ /pubmed/19037698 http://dx.doi.org/10.1007/s00464-008-0186-4 Text en © The Author(s) 2008 |
spellingShingle | Article van Koperen, P. J. van Berge Henegouwen, M. I. Rosman, C. Bakker, C. M. Heres, P. Slors, J. F. M. Bemelman, W. A. The Dutch multicenter experience of the Endo-Sponge treatment for anastomotic leakage after colorectal surgery |
title | The Dutch multicenter experience of the Endo-Sponge treatment for anastomotic leakage after colorectal surgery |
title_full | The Dutch multicenter experience of the Endo-Sponge treatment for anastomotic leakage after colorectal surgery |
title_fullStr | The Dutch multicenter experience of the Endo-Sponge treatment for anastomotic leakage after colorectal surgery |
title_full_unstemmed | The Dutch multicenter experience of the Endo-Sponge treatment for anastomotic leakage after colorectal surgery |
title_short | The Dutch multicenter experience of the Endo-Sponge treatment for anastomotic leakage after colorectal surgery |
title_sort | dutch multicenter experience of the endo-sponge treatment for anastomotic leakage after colorectal surgery |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2686802/ https://www.ncbi.nlm.nih.gov/pubmed/19037698 http://dx.doi.org/10.1007/s00464-008-0186-4 |
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