Esophageal Wound Vacuum Placement for Anastomotic Leak: Lessons Learned From First Time Use at a Tertiary Care Center. JPGN Rep 2021 Aug;2(3):e114
Date
08/05/2021Pubmed ID
37205950Pubmed Central ID
PMC10191559DOI
10.1097/PG9.0000000000000114Abstract
Esophageal atresia and tracheoesophageal fistula (TEF) are rare birth anomalies typically requiring corrective surgery over the first few months of life. Esophageal surgery can lead to a life-threatening anastomotic leak. Esophageal wound vacuums have seen increased use in adults and one cohort of children as a therapeutic modality. This case study explores a tertiary care pediatric hospital's introductory experience in utilizing this technique. A 19-month-old male underwent staged repair for esophageal atresia/tracheoesophageal fistula requiring an esophageal stricture resection with primary anastomosis. An anastomotic leak was successfully managed with wound vacuums. Our experiences highlighted the need for individualized treatment plans with this therapy based on feeding capabilities, side effects of the vacuum, placement method, and replacement strategies.
Author List
Glait M, Wong J, Krasaelap A, Wagner A, Lal D, Schneider J, Lerner DAuthors
Dave Lal MD, MPH Chief, Professor in the Surgery department at Medical College of WisconsinDiana Lerner MD Professor in the Pediatrics department at Medical College of Wisconsin
