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04 January 2025 : Case report  Colombia

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 ORCID logo12ABDEF, Carlos A. Moya-Ortiz ORCID logo12ABDEF, Sara Eslait-Olaciregui ORCID logo12ABDEF*, Dayana K. Báez-López ORCID logo1ABDEF, Nathaly Páez ORCID logo12ABDEF, Diego A. Piñeros Nieto ORCID logo3ABDEF, Carlos F. Román Ortega ORCID logo1ABDEF, Jorge Alejandro Gonzalez ORCID logo1ABCEF, Paulo A. Cabrera Rivera ORCID logo1ABDEF

DOI: 10.12659/AJCR.945745

Am J Case Rep 2025; 26:e945745

Table 1. Main characteristics of the patients.

Case 1Case 2Case 3
Age65 years73 years69 years
SexFemaleMaleMale
Reason for the resectionMesenteric ischemiaIntestinal obstruction (dehiscence of anastomosis previously made by incarcerated inguinal herniorrhaphy)Mesenteric ischemia
Type of anastomosisEnd-to-side anastomosis in 2 planesSide-to-side anastomosis in 2 planesEnd-to-end anastomosis in 2 planes
Distance between the anastomosis and ileocecal valve10 cm15 cm12 cm
NPT configurationFirst stage: VAC at a pressure of −75 mmHg for 2 daysSecond stage: VAC at a pressure of −125 mmHg for 6 daysFirst stage: −100 mmHg for 2 daysSecond stage: −50 mmHg for 3 daysVAC at −50 mmHg, medium intensity, continuous
Total NPT time8 days5 days4 days
NPT – negative-pressure therapy; VAC – vacuum-assisted closure.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923