Affiliation:
1. Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine;
Military Medical Academy named after C.M. Kirov
2. Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Abstract
Objective: To assess the benefits of negative pressure wound therapy (NPWT) in complex therapy of patients with enterocuta‑ neous fistulas.Methods: From 2014 to 2019 in Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, 24 patients were managed with vacuum assisted techniques. For comparison, a comparable group of 23 observations (control) was formed retrospectively based on an analysis of medical records.Results: When using NPWT, the terms of wound cleansing and the formation of a laparostomy were reduced, and conditions were created for its early closure. With a small laparostomy, the use of NPWT contributed to self-epithelialization of the wound around the fistula.Conclusions: The use of NPWT more than halves the time of formation of a laparostomy, shortens the time for cleansing the wound and creates the conditions for its closure. Surgical tactics using NPWT can more than three times reduce the number of local complications in patients with unformed intestinal fistulas and less often change the combination of antibacterial drugs.
Publisher
Pacific State Medical University
Reference6 articles.
1. Assenza M, Rossi D, De Gruttola I, Ballanti C. Enterocutaneous fistula treatment: Case report and review of the literature. Il Giornale di Chirurgia. 2018;39(3):143–51.
2. Limengka Y, Jeo WS. Spontaneous closure of multiple enterocutaneous fistula due to abdominal tuberculosis using negative pressure wound therapy: A case report. J Surg Case Rep. 2018(1). doi: 10.1093/jscr/rjy001
3. Jerez González JA, Quiñones Sánchez C, Márquez Rodríguez F. Catastrophic abdominal wall after repair of enterocutaneous fistula: A case study. J Wound Ostomy Continence Nurs. 2019;46(4):337–42.
4. Mawdsley JE, Hollington P, Bassett P, Windsor AJ, Forbes A, Gabe SM. An analysis of predictive factors for healing and mortality in patients with enterocutaneous fistulas. Aliment Pharmacol Ther. 2008;28(9):1111–21.
5. Björck M, Kirkpatrick AW, Cheatham M, Kaplan M, Leppaniemi A, De Waele JJ. Amended classification of the open abdomen. Scand J Surg. 2016;105(1):5–10.
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