Manejo local de una fístula entero-atmosférica en el abdomen abierto: Cura en chimenea presentación de caso
- Rocío Zambrano Muñoz 1
- Francisco Javier Sánchez Manuel 1
- Ester Beatriz García-Plata Polo 1
- Jose Felipe Reoyo Pascual 1
- Lucía González Martínez 1
- Romina Parra López 1
- Ivan Gil Laso 1
- Xandra Valero Cerrato 1
- Isabel Sánchez Pedrique 1
- Carlos Cartón Hernández 1
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1
Complejo Asistencial Universitario de Burgos
info
ISSN: 1697-090X
Año de publicación: 2015
Número: 1
Páginas: 39-44
Tipo: Artículo
Otras publicaciones en: Revista Electrónica de Biomedicina
Resumen
INTRODUCTION: The open abdomen is both a resource and a surgical sequela after damage-control surgery, that helps saving the live of critically ill patients. It can have significant complications, the most severe one is the entero-atmospheric fistula. CASE REPORT: We report the case of a patient from our hospital, treated with longstanding open abdomen because of a traumatic pancreatitis and development of an enteroatmospheric fistula, handled with a variation of the fistula ring technique: a "fireplace" design in a vacuum system. A review of the literature on the subject is made. RESULTS AND CONCLUSIONS: This strategy proved effective for the management of the fistula until the final repair of the bowel. The management of an enteroatmospheric fistula is a major technical challenge to prevent the leak of intestinal contents on the surrounding exposed bowel and granulation tissue. The "fireplace" design represents a good option for distal ileum fistulas, greatly simplifying the treatment of the patient by maintaining the open abdomen clean and the fistula effluent isolated until the transit repair, which is usually carried out along with the abdominal wall repair, few months later.
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