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Wideochir Inne Tech Maloinwazyjne. 2015 Jul;10(2):299-310. doi: 10.5114/wiitm.2015.52080. Epub 2015 Jun 08.

Endoscopic vacuum-assisted closure system (E-VAC): case report and review of the literature.

Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques

Maciej Borejsza-Wysocki, Krzysztof Szmyt, Adam Bobkiewicz, Stanisław Malinger, Józef Świrkowicz, Jacek Hermann, Michał Drews, Tomasz Banasiewicz

Affiliations

  1. Department of General and Endocrine Surgery and Gastrointestinal Oncology, Poznan University of Medical Sciences, Poznan, Poland.

PMID: 26240633 PMCID: PMC4520842 DOI: 10.5114/wiitm.2015.52080

Abstract

Negative pressure wound therapy (NPWT) has become a standard in the treatment of chronic and difficult healing wounds. Negative pressure wound therapy is applied to the wound via a special vacuum-sealed sponge. Nowadays, the endoscopic vacuum-assisted wound closure system (E-VAC) has been proven to be an important alternative in patients with upper and lower intestinal leakage not responding to standard endoscopic and/or surgical treatment procedures. Endoscopic vacuum-assisted wound closure system provides perfect wound drainage and closure of various kinds of defect and promotes tissue granulation. Our experience has shown that E-VAC may significantly improve the morbidity and mortality rate. Moreover, E-VAC may be useful in a multidisciplinary approach - from upper gastrointestinal to rectal surgery complications. On the other hand, major limitations of the E-VAC system are the necessity of repeated endoscopic interventions and constant presence of well-trained staff. Further, large-cohort studies need to be performed to establish the applicability and effectiveness of E-VAC before routine widespread use can be recommended.

Keywords: Endo-Sponge; endoscopic vacuum-assisted wound closure system; eosophageal leakage; pancreatico-gastric anastomotic insufficiency; rectal anastomotic leakage; vacuum-assisted wound closure therapy

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