C-seal for prevention of anastomotic leakage following colorectal anastomosis
Morks, A.N.; Havenga, K.; ten Cate Hoedemaker, H.O.; Ploeg, R.J.
Nederlands Tijdschrift Voor Geneeskunde 155: A2812
2011
ISSN/ISBN: 0028-2162 PMID: 21447208 Document Number: 651372
The C-seal is a new product for prevention of anastomotic leakage following colorectal anastomosis. Anastomotic leakage is a much-feared complication of colorectal surgery, with an incidence of around 11%. The C-seal is a biodegradable sheath that is attached to the inner surface of the bowel, just above the colorectal anastomosis, with a circular stapler. Intestinal contents drain from the body via the C-seal. The C-seal can be used in stapled anastomoses at up to 15 cm from the anus and is compatible with all circular staplers. To date, 50 patients have been treated with a C-seal. Results are encouraging and therefore the C-seal is soon to be investigated under randomized study conditions.