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Rolf Weidenhagen, MD, Wolfgang H. Hartl, MD, Klaus U

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Presentation on theme: "Rolf Weidenhagen, MD, Wolfgang H. Hartl, MD, Klaus U"— Presentation transcript:

1 Anastomotic Leakage After Esophageal Resection: New Treatment Options by Endoluminal Vacuum Therapy 
Rolf Weidenhagen, MD, Wolfgang H. Hartl, MD, Klaus U. Gruetzner, MD, Martin E. Eichhorn, MD, Fritz Spelsberg, MD, Karl W. Jauch, MD  The Annals of Thoracic Surgery  Volume 90, Issue 5, Pages (November 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The sponge is pushed through the outer sheath by the inner sleeve (grey) and finally released into the cavity. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The endoscopic vacuum device: an open-cell polyurethane sponge connected to an evacuation tube. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Anastomotic leakage with a mediastinal abscess cavity. The distal end of the endoscope is placed into the cavity. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 The outer sheath (green) of the introducer system is advanced under endoscopic control into the abscess cavity. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 The endoscope is removed leaving the outer sheath in place. The sponge is introduced into the proximal end of the sheath. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 The sponge is placed in the cavity. The evacuation tube coming out of the mouth or nose of the patient is connected to a vacuum device. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

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