Perirectal abscess following procedure for prolapsed haemorrhoids successfully managed with a combination of VAC sponge and Redivac systems

Abstract

Active drains, which work from negative pressure effect, are commonly used to drain closed airtight wounds. Higher negative pressure is used in vacuum assisted wound closure (VAC) (usually -125 mmHg) dressings and in Redivac system (usually -300 mmHg). As far as we know, combinations of Redivac and VAC have not been used. The authors describe a novel combination using the sponge of the VAC dressing and sealed Redivac system to drain an open rectal wound, consequence of a perforation after stapled haemorrhoidopexy.

Endoluminal vacuum therapy for anastomotic leaks after rectal surgery

“…It promotes healing of chronic wounds by enhancing the formation of granulation tissue, increasing vascularity and decreasing bacterial colonization [1,2]. Transanal vacuum therapy has also been used to treat perirectal abscess following surgery for prolapsed hemorrhoids [3]. Recently, a device named Endo-SPONGE was introduced for the endoscopic treatment of anastomotic dehiscence after colorectal surgery.…”

Delayed Endoluminal Vacuum Therapy for Rectal Anastomotic Leaks after Rectal Resection in a Swine Model: A New Treatment Option

“…The current device on the market is the Endo‐SPONGE (B. Braun Medical, Melsungen, Germany), which is available and in use in Europe. This has been shown to be successful in closing abscess cavities from anastomotic leakage without the need for reoperation and has been utilized in presacral and paraanastomotic spaces . Unfortunately, their current technique requires continued device exchange every 3 to 4 days and no management of proximal stool.…”

“…In doing so, it also increases local blood perfusion, accelerates granulation tissue formation, decreases tissue bacterial loads and inflammation, and increases nutrient blood flow . The Endo‐SPONGE (B. Braun Medical, Melsungen, Germany), a commercially available device in Europe, has been shown to be successful in closing perianastomotic and presacral abscess cavities after anastomotic leakage . This previously described technique places a sponge into the perirectal space near the leak rather than within the anastomotic lumen.…”

“…[6][7][8] The Endo-SPONGE (B. Braun Medical, Melsungen, Germany), a commercially available device in Europe, has been shown to be successful in closing perianastomotic and presacral abscess cavities after anastomotic leakage. [9][10][11][12][13][14] This previously described technique places a sponge into the perirectal space near the leak rather than within the anastomotic lumen.…”

Negative Pressure Wound Therapy in the Prevention of Infectious Wound Complications in Perineal Wound After Abdominoperineal Resection

“…Описано применение ЛОД в реконструктивной хирургии промежности [27], в лечении осложнений проктологических операций [28,29] и использование трансанального вакуум-ассистированного дренажа при лечении несостоятельности колоректального ана-стомоза после резекции прямой кишки [30,31].…”