INTRAABDOMINAL AND TRANSANAL VACUUM DRAINAGE FOR COLORECTAL ANASTOMOSIS LEAKAGE (case report)
https://doi.org/10.33878/2073-7556-2020-19-4-100-106
Abstract
AIM: to present a clinical case of treatment of colorectal anastomosis leakage complicated by secondary diffuse postoperative peritonitis with preservation of the anastomosis.
PATIENTS AND METHODS: the patient was a 69-year-old male, with a diagnosis of the rectal cancer pT3N0M0, after surgery treatment (laparoscopic TME, ileostomy). The postoperative period was complicated by anastomosis leakage.
RESULTS: we applied the method of surgical treatment, which included stage relaparotomy without resection of anastomosis with installing intraabdominal and pelvic system of negative pressure treatment and transanal endoluminal vacuum drainage at the anastomotic leakage site.
CONCLUSION: the primary use of the method gave us encouraging results, which enables to consider the proposed technical approach as a promising option for treatment of such a complicated group of patients.
About the Authors
I. B. Uvarov
Kuban State Medical University;
Regional Oncological Center of Krasnodar
Russian Federation
Russian Federation
Researcher ID: A-4192-2014
тел.: +7(918)4825060
Mitrofan Sedin str., 4, Krasnodar, 350063, Russia
Dimitrov Str. 146, 350040, Krasnodar, Russia
A. M. Manuylov
Kuban State Medical University;
Regional Oncological Center of Krasnodar
Russian Federation
Russian Federation
+7(861)252-14-60
Mitrofan Sedin str., 4, Krasnodar, 350063, Russia
D. D. Sichinava
Kuban State Medical University;
Regional Oncological Center of Krasnodar
Russian Federation
Russian Federation
+7(918)4910385
Mitrofan Sedin str., 4, Krasnodar, 350063, Russia
Dimitrov Str. 146, 350040, Krasnodar, Russia
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For citations:
Uvarov I.B., Manuylov A.M., Sichinava D.D. INTRAABDOMINAL AND TRANSANAL VACUUM DRAINAGE FOR COLORECTAL ANASTOMOSIS LEAKAGE (case report). Koloproktologia. 2020;19(4):100-106. (In Russ.) https://doi.org/10.33878/2073-7556-2020-19-4-100-106
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