SPONGE-assisted versus Trendelenburg position surgery in laparoscopic sigmoid and rectal cancer surgery (SPONGE trial): randomized clinical trial.
Fahim M, Couwenberg A, Verweij ME, Dijksman LM, Verkooijen HM, Smits AB.
Br J Surg 2022; 109: 1081-1086.
Some 163 patients were included in the study. Using the sponge to avoid the Trendelenburg (head down) position did not affect postoperative complications or hospital stay. There were no adverse events from the sponge.
Comment: Not worth the investment, unless perhaps it is expected the procedure will be prolonged.
21 December 2022
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