Journal: ACG Case Reports Journal

Article Title: Recurrent Anastomotic Leak After Hartmann Reversal: Successful Management With Vacuum-Assisted Endoscopic Drainage and Diversion

doi: 10.14309/crj.0000000000001976

Figure Lengend Snippet: Components of the Endo-sponge kit: (1) Two sizes of overtubes used to deploy the Endo-sponge into the leakage cavity. (2) The Endo-sponge, designed to be placed within the cavity to absorb pus and leakage fluid while promoting approximation of the cavity edges. (3) The pusher, used to advance the Endo-sponge through the overtube to the leak site. (4) The catheter attached to the Endo-sponge, which allows for irrigation of the device. (5–6) Irrigation system, consisting of a syringe and a plastic connector, which can be attached to the catheter.

Article Snippet: Second, an endoscopic vacuum-assisted drainage (Endo-sponge) device (B. Braun Surgical, S.A., Barcelona, Spain) was placed directly into the leak cavity under direct vision (Figure ).

Techniques:

Journal: ACG Case Reports Journal

Article Title: Recurrent Anastomotic Leak After Hartmann Reversal: Successful Management With Vacuum-Assisted Endoscopic Drainage and Diversion

doi: 10.14309/crj.0000000000001976

Figure Lengend Snippet: Endoscopic and device images during management of recurrent anastomotic leak. (A) Endoscopic view of the anastomotic site showing mucosal edema and inflammatory changes, with a defect through which the scope was advanced into the cavity. (B) Identification of the recurrent defect with purulent discharge. (C) Placement of the Endo-sponge into the leak cavity under direct endoscopic guidance. (D) Vacuum drainage bottle (REDYROB TRANS PLUS, Barcelona, Spain) connected to the Endo-sponge system, providing continuous negative pressure therapy.

Article Snippet: Second, an endoscopic vacuum-assisted drainage (Endo-sponge) device (B. Braun Surgical, S.A., Barcelona, Spain) was placed directly into the leak cavity under direct vision (Figure ).

Techniques: