Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Semiflex-assisted vacuum therapy for perianal fistulas: the Semiflex pilot study.

Techniques in coloproctology·2025
Same author

Hospital costs of different treatment strategies for anastomotic leakage after total mesorectal excision: a multicentre cost analysis.

Techniques in coloproctology·2025
Same author

Prediction tool for early identification of patients at risk of Crohn's disease in perianal fistulas and abscesses (PREFAB): Analysis of a prospective pilot study at a non-academic, teaching centre in the Netherlands.

Techniques in coloproctology·2025
Same author

Mid- and long-term functional outcomes of advancement flap for cryptoglandular perianal fistulas.

Techniques in coloproctology·2025
Same author

Early diagnosis of Crohn's disease in patients presenting with a perianal fistula: systematic review and development of a perianal red flags index.

Techniques in coloproctology·2025
Same author

Long-term outcomes of 'temporary' defunctioning in patients with severe perianal Crohn's disease.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2025

Related Experiment Video

Updated: Jun 18, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Vacuum assisted closure in coloproctology.

W A Bemelman1

  • 1Department of Surgery, Academic Medical Center, PO Box 22700, 1100 DE Amsterdam, The Netherlands. w.a.bemelman@amc.uva.nl

Techniques in Coloproctology
|November 13, 2009
PubMed
Summary

Vacuum-assisted closure (VAC) effectively treats presacral abscesses after colorectal surgery. Early endosponge treatment can prevent persistent sinuses and improve neorectal function, though further study is needed.

Area of Science:

  • Coloproctology
  • Surgical Innovation
  • Wound Management

Background:

  • Vacuum-assisted closure (VAC) has demonstrated utility in various coloproctology applications.
  • Variable results have been reported for VAC in treating perineal defects, stoma dehiscence, and perirectal abscesses.

Purpose of the Study:

  • To evaluate the efficacy of VAC, specifically endosponge treatment, for managing para-anastomotic presacral abscesses following anastomotic leakage after total mesorectal excision.
  • To assess the potential of early VAC intervention to prevent complications like persistent presacral sinuses and impaired neorectal function.

Main Methods:

  • Endosponge treatment involves transanal insertion connected to a low-vacuum system.
  • The endosponge is exchanged and reduced in size every 3-4 days as the cavity diminishes.

More Related Videos

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Related Experiment Videos

Last Updated: Jun 18, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

  • Treatment duration typically ranges from 3 to 6 weeks for cavity closure.

    • Main Results:

    • Early endosponge treatment shows promise in managing presacral abscesses post-anastomotic leakage.
    • This intensive approach may prevent the development of chronic presacral sinuses.
    • Potential benefits include improved neorectal function and facilitating stoma closure.

    Conclusions:

    • Endosponge treatment is a promising indication for para-anastomotic presacral abscesses after total mesorectal excision.
    • Prompt initiation of endosponge therapy following diagnosis of anastomotic leakage is advised.
    • Further research is required to determine the long-term benefits regarding stoma closure rates and neorectal function to justify this intensive treatment.