Highlights • Endoluminal vacuum (EndoVAC™) therapy has been shown to be a revolutionary option but has anatomical and technical limits.• Transstomal EndoVAC™ is a new approach and a safe and… Click to show full abstract
Highlights • Endoluminal vacuum (EndoVAC™) therapy has been shown to be a revolutionary option but has anatomical and technical limits.• Transstomal EndoVAC™ is a new approach and a safe and feasible option as ultima ratio for intestinal leakage.• In trauma related laparotomy complete mobilization of the duodenum is crucial.
               
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