Document Detail

Chronic pelvic abscedation after completion proctectomy in an irradiated pelvis: another indication for ENDO-sponge treatment?
MedLine Citation:
PMID:  19603139     Owner:  NLM     Status:  MEDLINE    
Six years after completion proctectomy, a patient presented with invalidating pain, fever and massive mucopurulent secretion through the perineal wound after completion proctectomy. CT-scan revealed a large presacral abscess and osteonecrosis of the sacrum. The patient consented to placement of an ENDO-sponge (B. Braun Medical B.V., Melsungen Germany). On day 4 granulation tissue covered the walls of the cavity and the amount of necrotic tissue and fibrin was reduced. The foam was changed every 4 days and treatment was continued for 20 days. On day 20, vacuum assisted closure therapy was stopped and the remnant cavity was further rinsed with saline. There was no more evacuation of mucus or pus. Three months later, the patient was symptom free and only a small perineal dimple remained. ENDO-sponge (B. Braun Medical B.V., Melsungen Germany) treatment is possible for presacral abscedation which is a well-known complication following abdominoperineal rectum amputation.
Mathieu D'Hondt; Geert De Hondt; Paul Malisse; Jan Vanden Boer; Joep Knol
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-15
Journal Detail:
Title:  Techniques in coloproctology     Volume:  13     ISSN:  1128-045X     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-04-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  311-4     Citation Subset:  IM    
Department of Digestive Surgery, Maria Ziekenhuis Noord Limburg, Maesensveld 1, 3900 Overpelt, Belgium.
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MeSH Terms
Abscess / surgery*
Adenocarcinoma / surgery*
Anastomosis, Surgical / adverse effects
Colectomy / adverse effects*
Digestive System Surgical Procedures / adverse effects*
Epithelium / growth & development
Negative-Pressure Wound Therapy
Osteonecrosis / complications
Perineum / surgery
Postoperative Complications / surgery*
Proctitis / surgery
Rectal Neoplasms / surgery*
Rectum / surgery*
Sacrum / pathology,  radiography
Surgical Sponges*
Tomography, X-Ray Computed
Wound Healing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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