Fig. 4.

Patient with a large dehiscence of the anastomosis that underwent successful treatment. A First sigmoidoscopy showing a 270 degrees dehiscence of the anastomosis with a transanal drain that was placed in the referring hospital. B Sigmoidoscopy image after two Endosponge^® procedures, showing granulation tissue with pus on the right side of the descending colon. C Image after the fifth Endosponge^® procedure showing a clean cavity with granulation tissue. D Two weeks follow-up sigmoidoscopy after transanal closure showing a reduced dehiscence, but with a residual defect. E Small residual sinus after a total of 8 Endosponge^® exchanges for a residual defect after transanal closure. F Sigmoidoscopy two week after the last Endosponge^® procedure, showing a healed anastomosis