Eastern Cardiothoracic Surgical Society

Utilization of the Esophageal Wound VAC to Treat Esophageal Luminal Disruption
Uday Dasika, Wassim Abi Jaoude,  Reading Health System, West Reading, PA


OBJECTIVE: This is a clinical review of the patients that we have treated utilizing esophageal wound VAC at our institution. The esophageal wound VAC is a novel therapy for treatment of esophageal luminal disruption. This would include spontaneous esophageal perforation and postoperative esophageal anastomotic leak. This study is a review of our clinical experience with the esophageal wound VAC for treatment of esophageal luminal disruptions.

METHODS: The patient’s clinical status and outcomes were reviewed. Techniques for successful utilization of the esophageal wound VAC for treatment of esophageal disruptions will be presented.

RESULTS: Esophageal wound VAC resulted in successful treatment of esophageal anastomotic disruption in all instances.

CONCLUSIONS: Esophageal wound VAC therapy is a novel and minimally invasive technique for treatment of esophageal luminal disruption. We present our techniques for initiation and management of patients in this series and believe that this is a novel method to treat patients with this difficult clinical condition.