EXPERIENCE OF THE SUCCESSFUL USING OF VACUUM THERAPY IN THE TREATMENT OF GASTRIC LEAK AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY: CASE REPORT
https://doi.org/10.24884/1607-4181-2018-25-2-69-74
Abstract
Gastric leak is the most dangerous postoperative complication of laparoscopic sleeve gastrectomy. Traditional surgical treatment options and endoscopic stent placement are not always successful. Negative Pressure Wound Therapy (NPWT) has shown itself like a new successful and feasible treatment option for leaks of different etiology after gastro-esophageal surgery.
The initial body mass index (BMI) of the patient was 46 and co-morbidity was represented: arterial hypertension, type 2 diabetes and dyslipidemia. NPWT was initiated in 14 days after laparoscopic sleeve gastrectomy. The abdominal part of the system were changed 3 times for14 days. The patient was discharged from the hospital in 14 days after the secondary sutures to the wound. No relevant complications related to the procedure were observed during the course of the vacuum therapy. It combines defect closure, effective drainage and allows doing a periodic inspection of the wound cavity. NPWT is a successful, safety and effective treatment option for the leaks after laparoscopic sleeve gastrectomy
About the Authors
K. A. Anisimova
Pavlov University
Russian Federation
6-8 L’va Tolstogo str., Saint-Petersburg, 197022
Russian Federation
6-8 L’va Tolstogo str., Saint-Petersburg, 197022
D. I. Vasilevskii
Pavlov University
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
A. Ju. Korolkov
Pavlov University
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
S. G. Balandov
Pavlov University
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
A. S. Lapshin
Pavlov University
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
E. V. Kiseleva
Pavlov University
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
L. I. Davletbaeva
Pavlov University
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
References
1. Zaytseva E., Tokmakova A. Vakuum-terapiya v lechenii khronicheskikh ran. [Vacuum therapy for chronic wounds] Sakharnyy diabet. 2012;(3):45-49. doi:0.14341/2072-0351-6085
2. Zaytseva E., Doronina L., Molchkov R. i dr. Osobennosti reparatsii tkaney u patsientov s neyropaticheskoy i neyroishemicheskoy formami sindroma diabeticheskoy stopy na fone terapii otritsatel’nym davleniem. Vestnik khirurgii im. I.I. Grekova. 2014.173(5):64-72.
3. Galkowska H., Wojewodzka U., Olszewski W. Chemokines, cytokines, and growth factors in keratinocytes and dermal endothelial cells in margin of chronic diabetic foot ulcers. Wound repair and Regen. 2006.14(5):558–65. doi:10.1111/j.1743-6109.2006.00155.x
4. Falanga V. Wound healing and its impairment in the diabetic foot. Lancet. 2005. 366(9498):1736–1743. doi:10.1016/S0140-6736(05)67700-8
5. Morykwas M., Simpson J., Punger K., et al. Vacuum-assisted closure: state of basic research and physiologic foundation. Plast. Reconstr. Surg. – 2006. 117(7):121–126. doi:10.1097/01.prs.0000225450.12593.12
6. Bassetto F., Lancerotto L., Salmaso R., et al. Histological evolution of chronic wounds under negative pressure therapy. J. Plast. Reconstr. Aesthet. Surg. 2012.65(1): 91–9. doi:10.1016/j.bjps.2011.08.016.
Review
For citations:
Anisimova K.A., Vasilevskii D.I., Korolkov A.J., Balandov S.G., Lapshin A.S., Kiseleva E.V., Davletbaeva L.I. EXPERIENCE OF THE SUCCESSFUL USING OF VACUUM THERAPY IN THE TREATMENT OF GASTRIC LEAK AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY: CASE REPORT. The Scientific Notes of the Pavlov University. 2018;25(2):69-74. (In Russ.) https://doi.org/10.24884/1607-4181-2018-25-2-69-74
Views:
924
Email this article 