04 January 2025
: Case report
Negative-Pressure Wound Therapy: A Novel Approach for Terminal Ileum Anastomosis Success
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment
María J. Pérez-Restrepo








DOI: 10.12659/AJCR.945745
Am J Case Rep 2025; 26:e945745
Table 1. Main characteristics of the patients.
Case 1 | Case 2 | Case 3 | |
---|---|---|---|
Age | 65 years | 73 years | 69 years |
Sex | Female | Male | Male |
Reason for the resection | Mesenteric ischemia | Intestinal obstruction (dehiscence of anastomosis previously made by incarcerated inguinal herniorrhaphy) | Mesenteric ischemia |
Type of anastomosis | End-to-side anastomosis in 2 planes | Side-to-side anastomosis in 2 planes | End-to-end anastomosis in 2 planes |
Distance between the anastomosis and ileocecal valve | 10 cm | 15 cm | 12 cm |
NPT configuration | First stage: VAC at a pressure of −75 mmHg for 2 daysSecond stage: VAC at a pressure of −125 mmHg for 6 days | First stage: −100 mmHg for 2 daysSecond stage: −50 mmHg for 3 days | VAC at −50 mmHg, medium intensity, continuous |
Total NPT time | 8 days | 5 days | 4 days |
NPT – negative-pressure therapy; VAC – vacuum-assisted closure. |