Top

Published in:

01-12-2009 | Technical Note

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

Authors: R. Durai, P. C. H. Ng

Published in: Techniques in Coloproctology | Issue 4/2009

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.

Mees ST, Palmes D, Mennigen R, Senninger N, Haier J, Bruewer M (2008) Endo-vacuum assisted closure treatment for rectal anastomotic insufficiency. Dis Colon Rectum 51:404–410CrossRefPubMed

Nagell CF, Holte K (2006) Treatment of anastomotic leakage after rectal resection with transrectal vacuum-assisted drainage (VAC). A method for rapid control of pelvic sepsis and healing. Int J Colorectal Dis 21:657–660CrossRefPubMed

Ravo B, Amato A, Bianco V et al (2002) Complications after stapled hemorrhoidectomy: can they be prevented? Tech Coloproctol 6:83–88CrossRefPubMed

Shao WJ, Li GC, Zhang ZH, Yang BL, Sun GD, Chen YQ (2008) Systematic review and meta-analysis of randomized controlled trials comparing stapled haemorrhoidopexy with conventional haemorrhoidectomy. Br J Surg 95:147–160CrossRefPubMed

Pescatori M, Gagliardi G (2008) Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures. Tech Coloproctol 12:7–19CrossRefPubMed

Burch J, Epstein D, Baba-Akbari A et al (2008) Stapled haemorrhoidectomy (haemorrhoidopexy) for the treatment of haemorrhoids: a systematic review and economic evaluation. Health Technol Assess 12:1–193

Molloy RG, Kingsmore D (2000) Life threatening pelvic sepsis after stapled haemorrhoidectomy. Lancet 355:810CrossRefPubMed

Weidenhagen R, Gruetzner KU, Wiecken T, Spelsberg F, Jauch KW (2008) Endoluminal vacuum therapy for the treatment of anastomotic leakage after anterior rectal resection. Rozhl Chir 87:397–402PubMed

van Koperen PJ, van Berge Henegouwen MI, Rosman C et al (2008) The Dutch multicenter experience of the Endo-Sponge treatment for anastomotic leakage after colorectal surgery. Surg Endosc (in press)

Title: Perirectal abscess following procedure for prolapsed haemorrhoids successfully managed with a combination of VAC sponge and Redivac systems
Authors: R. Durai
P. C. H. Ng
Publication date: 01-12-2009
Publisher: Springer Milan
Published in: Techniques in Coloproctology / Issue 4/2009
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-009-0503-5

At a glance: The STEP trials

Springer Medicine

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

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2009

Tips and tricks: haemorrhoidectomy with LigaSure™

Ethical issues on newer technology in colorectal practice

Tips and tricks: hemorrhoidectomy with LigaSure™

Feza H. Remzi, MD leads Colorectal Surgery at Cleveland Clinic, Digestive Disease Institute, Cleveland, Ohio

Short-term results of DST EEA 33 stapler and neu@ anoscope for stapled haemorrhoidectomy: a prospective study of 1,118 patients from a single centre

3rd National Congress of the Italian Society of Colo-Rectal Surgery, 5–7 October 2009, Catania, Italy, Grand Hotel Baia Verde