Why the study?
To present a clinical case of colorectal anastomosis leakage complicated by secondary diffuse postoperative peritonitis treated with preservation of the anastomosis.
Intraabdominal and transanal vacuum drainage may be a promising option for treating colorectal anastomosis leakage with secondary peritonitis while preserving the anastomosis.
May offer salvage for colorectal anastomotic leak with peritonitis; hypothesis-generating and requires prospective validation.
AIM : to present a clinical case of treatment of colorectal anastomosis leakage complicated by secondary diffuse postoperative peritonitis with preservation of the anastomosis. PATIENTS AND METHODS : the patient was a 69-year-old male, with a diagnosis of the rectal cancer pT3N0M0, after surgery treatment (laparoscopic TME, ileostomy). The postoperative period was complicated by anastomosis leakage. RESULTS : we applied the method of surgical treatment, which included stage relaparotomy without resection of anastomosis with installing intraabdominal and pelvic system of negative pressure treatment and transanal endoluminal vacuum drainage at the anastomotic leakage site. CONCLUSION : the primary use of the method gave us encouraging results, which enables to consider the proposed technical approach as a promising option for treatment of such a complicated group of patients.
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Уваров et al. (2020) studied this question.
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