Redo Anastomosis In Acute And Chronic Colorectal Leaks

PROGRAM 

    1. Redoanastomosis for chronic leak is perfect - Dr. Yves Panis

In this video, Dr. Panis discusses redo anastomosis for chronic cases. Anastomosis is the most common long-term complication, so it is obviously an important topic. How should treatment be performed to reduce the risk of the patient developing this complication?

To answer this question, he describes two different kinds of situations in which surgeons can find themselves. He explains how to perform the procedure in each case, using videos and giving data from the literature that prove the efficiency of each procedure.

    2. Redo anastomosis in acute leaks - Dr. Luigi Boni

Any surgery has complications, some of which are more severe or more likely. In the case of colorectal surgery, the main complication is anastomotic leakage, with grade C leaks being the most severe.

What is the best treatment for these cases: open or laparoscopic? To answer this question, both methods are compared on the basis of scientific data.

However, grade C leaks are not the only leaks surgeons can find. The best treatment for grade B is also discussed, as are the different types of treatment, describing their pros and cons and how treatment is carried out..

    3. Use of vacuum therapy in colorectal anastomotic leak - Dr. John Monson

Anastomotic leakage is a serious postoperative complication after colorectal surgery due to various negative factors that affect the patient.

There is no specific rule to predict anastomotic leakage, but there is a number of risk factors that increase its likelihood.

The same is the case with management of this complication. Endoscopic therapy has not been established as standard, so not all patients can be treated with it.. But for those who are able to be treated with this therapy, a number of surgical instruments can be used to for this kind of management.