Successful Treatment of a Large Pelvic Abscess Using Intraluminal VAC: A Case Report
The most feared complication of the surgical treatment of rectal cancer is anastomotic leakage, which is related to high rates of mortality and morbidity. Here, we present a patient who could not be treated with surgical drainage but treated by intraluminal Vacuum Associated Closure (VAC). A 34-y...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2016-04-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/7659/18485_CE[Ra1]_F(GH)_PF1(Vi_Om)_PFA(AK)_PF2(PRO).pdf |
Summary: | The most feared complication of the surgical treatment of rectal cancer is anastomotic leakage, which is related to high rates of mortality
and morbidity. Here, we present a patient who could not be treated with surgical drainage but treated by intraluminal Vacuum Associated
Closure (VAC).
A 34-year-old male patient was treated for rectal cancer by low anterior resection, colorectal anastomosis, and diverting ileostomy
following neoadjuvant CRT. The patient reported with a postoperative anastomotic disruption and a large pelvic abscess. Due to the
continuation of foul-smell drainage inspite of perianal incision and drainage, intraluminal VAC was applied and the pelvic abscess and
the foul-smell were successfully treated.
The presence of an adequate anal sphincter tonus is a disadvantage in anastomotic leakage, since it prevents the emptying of the
intestinal content and also precludes the drainage of the pelvic abscess. The endoluminal application of VAC, similar to the results of
application of VAC in open wounds, has been demonstrated to decrease fibrin and necrotic tissue in the pelvic cavity and increase
granulation tissue.
VAC, which has long been used in the treatment of open wounds, is a promising method in the treatment of large pelvic abscesses due
to anastomotic leakage following rectum resection. |
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ISSN: | 2249-782X 0973-709X |