Perirectal abscess following procedure for prolapsed haemorrhoids successfully managed with a combination of VAC sponge and Redivac systems

Active drains, which work from negative pressure effect, are commonly used to drain closed airtight wounds. Higher negative pressure is used in vacuum-assisted wound closure (VAC ® ) (usually −125 mmHg) dressings and in Redivac ® system (usually −300 mmHg). As far as we know, combinations of Redivac ® and VAC ® have not been used. The authors describe a novel combination using the sponge of the VAC ® dressing and sealed Redivac ® system to drain an open rectal wound, consequence of a perforation after stapled haemorrhoidopexy.