Open-pore Film Drainage (OFD) for Endoscopic Negativ Pressure Therapy

The OFD is a new drain for Endoscopic Negative Pressure Therapy (ENPT).

Various disadvantages of ENPT with drains using polyurethane foams are eliminated.

The advantages are:

- minimal diameter (4-6 mm or narrower)

- possibility of direct transnasal placement

- drainage element of any length 1-25 cm or even longer

- optimal drainage of fluids

- intracavitary and intraluminal ENPT

- single lumen drains

- double lumen drains with integrated feeding tube

- full surface suction effect

- less adhesion to tissue

- experience with esophagus, stomach and duodenum

- complimentary therapy with polyurethane foam drains

- easy to make and use

On the following articles and videos you will find first experience reports and construction notes for the making of the drainage tool, which is currently not available for purchase.

Lecture at the DCK in Leipzig 2024 on the value of open-pore film drainage (OFD) for endoscopic vacuum therapy

Read about OFD

Open-pore Film Drainage (OFD) - A new multipurpose tool for endoscopic negative pressure therapy (ENPT)

New small-bore drainage tool - first series (2018)

Open-pore Film Drainage (OFD) - A new multipurpose tool for endoscopic negative pressure therapy (ENPT) G Loske, T Schorsch, F Rucktaeschel, W Schulze, B Riefel, V van Ackeren, CT Mueller. Endosc Int Open 2018; 06(07): E865-E871 DOI: 10.1055/a-0599-5886

Fulltext and Video

Picture showing two typs of drainages A: common open-pore foam drainages (OPD) with diameter of 1,5 cm; B: new open-pore film drainage (OFD) with small-bore diameter 4-6 mm!

Single-lumen Open-pore Film Drainage (OFD)

How to construct a single-lumen OFD?

The new small-bore device is used in endoscopic vacuum therapy with small openings. Video shows construction of open-pore film drainage (OFD)

Construction Video

Material for construction of an OFD: openpore Drainagefilm (oF, CNP Drainagefilm Lohmann&Rauscher), gastro-duodenal tube (T), suture (S)

Double-lumen Open-pore Film Drainage (OFD)

How to construct a double-lumen OFD?

The new device is used for reflux drainage after Ivor-Lewis resection and enables enteral feeding simultanously. Video shows construction of OFD.

Construction Video

Openpore film (oF) is wrapped surround the gastric openings of a Trilumina-tube, intestinal feeding tube (IC), ventilation channal (V) is blocked (b) with a clamp.

Pre‑emptive active drainage of reflux (PARD) in Ivor‑Lewis oesophagectomy with negative pressure and simultaneous enteral nutrition using a double‑lumen open‑pore film drain (dOFD)

Loske G, Müller J, Schulze W, Riefel B, Müller CT. Pre-emptive active drainage of reflux (PARD) in Ivor-Lewis oesophagectomy with negative pressure and simultaneous enteral nutrition using a double-lumen open-pore film drain (dOFD). Surg Endosc. 2022 Jan 1. doi: 10.1007/s00464-021-08933-w. Epub ahead of print. PMID: 34973079.

Fulltext

Pull-through Open-pore Film Drainages

How to construct a pull-through OFD?

The new devices are used to insert a drainage in pull-through technique. Video shows construction of OFD.

Construction Video

New pull-through drainages: openpore polyurethane-foam (OPD), openpore polyurthane-foam covered with film (OPFD), openpore film drainage (OFD), diameter is sized down.

more publications on the use of the open-pored film drainage (OFD)

Was gibt es Neues bei der endoskopischen Therapie der Anastomoseninsuffizienz? Buchbeitrag in: Was gibt es Neues in der Chirurgie? Jahresband 2019 Berichte zur chirurgischen Weiter- und Fortbildung

Endoscopic negative pressure therapy (ENPT) for duodenal leakage - novel repair technique using open-pore film (OFD) and polyurethane-foam drainages (OPD), Endoscopy International Open 2019

Intrauterine negative-pressure therapy (IU-NPT) to treat peritonitis after caesarean section, Innovative Surgical Sciences 2020

Getunnelte subkutane endoskopische Unterdrucktherapie - Neue Therapieoption bei komplizierter Wundheilungsstörung am Stoma, Coloproctoloy 2020

Endoscopic negative pressure therapy (ENPT) of a spontaneous oesophageal rupture (Boerhaave’s syndrome) with peritonitis – a new treatment option, Innov Surg Sci 2021

Emergency endoscopic negative pressure therapy of a long oesophageal perforation in eosinophilic esophagitis with a single-lumen nasogastric tube-like open-pore film drain, Endoscopy 2021

Endoscopic negative pressure therapy for a broad rectal fistula using pull-through open-pore film and polyurethane foam drains, Endoscopy 2021