Endoscopic vacuum therapy for rectal injuries

AIM: to evaluate the effectiveness of endiscopic vac therapy in patients with rectal injuries.

PATIENTS AND METHODS: the retrospective study included 33 patients with rectal injuries treated with endoscopic vacuum therapy (EVT).

RESULTS: in 26/33 (78.8%) patients, treatment using EVT was successful and complete healing of intestinal wall defects developed. There was no sufficient deformation of the intestine or its severe narrowing in any case. In 2 (6.1%) cases it was possible to almost completely close the defect of the intestinal wall, but at the same time an internal fistula with abscess developed. The cavity was drained under ultrasound control. In 5 (15.2%) patients, the treatment failed. Three (9.1%) patients died, despite the good healing of defects in the rectal wall against the background of vacuum aspiration therapy.

CONCLUSION: the proper use of EVT can reduce the risk of wound infection and clean a highly infected area. As well it helps to reduce the rate of severe complications and minimizes the surgical procedure. The use of vacuum therapy in the early stages of surgical care can improve the results.

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