- Tytuł:
- The use of negative pressure wound therapy (NPWT) in the management of enteroatmospheric fistula – case report and literature review
- Autorzy:
-
Jaguścik, Rajmund
Walczak, Dominika
Porzeżyńska, Joanna
Trzeciak, Piotr - Powiązania:
- https://bibliotekanauki.pl/articles/1394259.pdf
- Data publikacji:
- 2015
- Wydawca:
- Index Copernicus International
- Tematy:
-
enteroatmospheric fistula
negative pressure wound therapy
dressing
open abdomen
laparostomy - Opis:
- An enteric fistula that occurs in an open abdomen is called an enteroatmospheric fistula (EAF) and is the most challenging complication for a surgical team to deal with. The treatment of EAF requires a multidisciplinary approach. First of all, sepsis has to be managed. Any fluid, electrolyte and metabolic disorders need to be corrected. Oral intake must be stopped and total parenteral nutrition introduced. The control and drainage of the effluent from the fistula is a separate issue. Since there are no fixed algorithms for the treatment of EAF, surgeons need to develop their own, often highly unconventional solutions. We present the case of a 24-year-old man who developed enteroatmospheric fistula after laparotomy and relaparotomy due to acute necrotic pancreatitis. Both the laparostomy and the fistula were successfully managed using modified negative pressure wound therapy. The literature regarding this issue was also reviewed.
- Źródło:
-
Polish Journal of Surgery; 2015, 87, 10; 522-527
0032-373X
2299-2847 - Pojawia się w:
- Polish Journal of Surgery
- Dostawca treści:
- Biblioteka Nauki
Artykuł