Use of sponge-assisted endoluminal vacuum therapy for the treatment of colorectal anastomotic leaks : expert panel consensus
Bemelman, Willem A. (University of Amsterdam)
Arezzo, Alberto (University of Torino)
Banasiewicz, Tomasz (Poznan University of Medical Sciences)
Brady, Richard (Newcastle Upon Tyne Hospitals Nhs Foundation Trust)
Espin-Basany, Eloy (Hospital Universitari Vall d'Hebron)
Faiz, O. (St Mark's Hospital (Londres))
Jimenez-Rodriguez, R.M. (Hospital Universitario Virgen del Rocío (Sevilla, Andalusia))
Universitat Autònoma de Barcelona

Data:	2022
Resum:	Background: Anastomotic leaks represent one of the most significant complications of colorectal surgery and are the primary cause of postoperative mortality and morbidity. Sponge-assisted endoluminal vacuum therapy (EVT) has emerged as a minimally invasive technique for the management of anastomotic leaks; however, there are questions regarding patient selection due to the heterogeneous nature of anastomotic leaks and the application of sponge-assisted EVT by surgeons. Method: Seven colorectal surgical experts participated in a modified nominal group technique to establish consensus regarding key questions that arose from existing gaps in scientific evidence and the variability in clinical practice. After a bibliographic search to identify the available evidence and sequential meetings with participants, a series of recommendations and statements were formulated and agreed upon. Results: Thirty-seven recommendations and statements on the optimal use of sponge-assisted EVT were elaborated on and unanimously agreed upon by the group of experts. The statements and recommendations answer 10 key questions about the indications, benefits, and definition of the success rate of sponge-assisted EVT for the management of anastomotic leaks. Conclusion: Although further research is needed to resolve clinical and technical issues associated with sponge-assisted EVT, the recommendations and statements produced from this project summarize critical aspects to consider when using sponge-assisted EVT and to assist those involved in the management of patients with colorectal anastomotic leaks.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Anastomotic Leak ; Colorectal Neoplasms ; Consensus ; Humans ; Negative-Pressure Wound Therapy ; Vacuum
Publicat a:	BJS Open, Vol. 6 Núm. 5 (january 2022) , p. zrac123, ISSN 2474-9842

DOI: 10.1093/bjsopen/zrac123
PMID: 36268752

7 p, 246.3 KB

El registre apareix a les col·leccions:
Articles > Articles de recerca
Articles > Articles publicats