Endoscopic laser diverticulotomy in Zenker's diverticulum: Experiences with basal wound sealing using a collagen-fibrin patch

Koch M, Thimsen V, Traxdorf M, Zenk J, Iro H, Treutlein E, Mantsopoulos K (2021)

Publication Type: Journal article

Publication year: 2021

Journal

European Review for Medical and Pharmacological Sciences Verduci Publishers

Book Volume: 25

Pages Range: 4791-4798

Journal Issue: 14

DOI: 10.26355/eurrev_202107_26392

Abstract

OBJECTIVE: Very few reports investigated techniques of closure of the basal wound area to reduce severe complications like mediastinitis after endoscopic laser diverticulotomy. In this study, we report our experiences after routine use of a collagen-fibrin sealant patch for basal wound covering after laser diverticulotomy in consideration of postoperative complications and recurrence rates. PATIENTS AND METHODS: This retrospective study was conducted in a tertiary referral center and university hospital. Endoscopic laser diverticulotomies performed in our hospital between January 2006 and July 2018 were included. After complete transection of the laser septum of the diverticulum, we placed a collagen-fibrin patch onto the basal wound area to cover the opening to the mediastinum. Patient records were evaluated to assess the occurrence of perioperative complications, and the data were compared with those reported in the literature. RESULTS: A total of 127 endoscopic laser diverticulotomies were performed in 109 patients (71 men, 38 women) suffering from Zenker's diverticulum. Morality rate was 0%, in particular no mediastinitis was observed. Mediastinal emphysema was observed in two patients (1.6%), and temporary or persistent recurrent nerve palsy in one patient (0.8%) each. The mean follow-up period was 71.6±5.16 months. Recurrent symptomatic diverticulum was observed in 19.3% of the patients. CONCLUSIONS: These findings suggest that use of a collagen-fibrin sealant patch in endoscopic laser diverticulotomy may contribute to the safety of endoscopic controlled laser diverticulotomy without comprising the success rates.

Authors with CRIS profile

Michael Koch Medizinische Fakultät Vivian Thimsen Department of Otorhinolaryngology – Head and Neck Surgery Maximilian Traxdorf Medizinische Fakultät Heinrich Iro Lehrstuhl für Hals-, Nasen- und Ohrenheilkunde Eric Treutlein Department of Otorhinolaryngology – Head and Neck Surgery Konstantinos Mantsopoulos Department of Otorhinolaryngology – Head and Neck Surgery

Involved external institutions

Universität Augsburg DE Germany (DE)

How to cite

APA:

Koch, M., Thimsen, V., Traxdorf, M., Zenk, J., Iro, H., Treutlein, E., & Mantsopoulos, K. (2021). Endoscopic laser diverticulotomy in Zenker's diverticulum: Experiences with basal wound sealing using a collagen-fibrin patch. European Review for Medical and Pharmacological Sciences, 25(14), 4791-4798. https://doi.org/10.26355/eurrev_202107_26392

MLA:

Koch, Michael, et al. "Endoscopic laser diverticulotomy in Zenker's diverticulum: Experiences with basal wound sealing using a collagen-fibrin patch." European Review for Medical and Pharmacological Sciences 25.14 (2021): 4791-4798.

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