EP-624 Pioneering makeshift endosponge in the management of Post Low Anterior resection leak: Experience from a resource limited country
| Autor: | Abdul Rehman, Abdul Wahid Anwer, Usman Mushtaq, Shahid Khattak, Aamir Ali Syed |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | British Journal of Surgery. 109 |
| ISSN: | 1365-2168 0007-1323 |
| Popis: | The aim of our study was to devise a method of salvaging anastomotic integrity in patients who develop leak post low anterior resection for rectal cancer. Although endopsonge is an established entity and has been in use for a while now as minimally invasive method but its availability is non existent in our region of the world. We came up with a method based on the principle of endosponge to be used in patients who develop anastomotic leak. We used a Jackson Pratt drain to create a low cost and easily reproducible endosponge. We did regular washouts in the theater, endoscopy suite and in the ward. Until now we have managed 2 patients who developed defect in anastomotic integrity. The results are very promising. Both patients have shown complete response in terms of complete resolution of pre sacral cavity and closure of the defect in the anastomotic integrity. Although these are only 2 cases but this makeshift endosponges can prove to be a very important part of the armamentarium of a colorectal surgeon in areas of the world where endosponges are not available. |
| Databáze: | OpenAIRE |
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