[Negative pressure therapy in wounds with enteric fistulas].

Autor:	Ruiz-López M; Servicio de Cirugía General y Digestiva, Hospital Regional Carlos Haya, Málaga, España. man.rui@terra.es, Carrasco Campos J, Sánchez Pérez B, González Sánchez A, Fernández Aguilar JL, Bondía Navarro JA
Jazyk:	Spanish; Castilian
Zdroj:	Cirugia espanola [Cir Esp] 2009 Jul; Vol. 86 (1), pp. 29-32. Date of Electronic Publication: 2009 May 31.
DOI:	10.1016/j.ciresp.2009.01.029
Abstrakt:	Objective: Negative pressure therapy (VAC, vacuum assisted closure) is a method used still in our country. It consists of a system of aspirating a wound by means of a piece of foam and a few adhesive films. It allows the treatment of complex wounds, included (although this is still controversial) those with intestinal fistulas. We present 3 cases of treatment with VAC in this situation and a review of the published literature. Patients and Method: We have treated 10 patients, since VAC therapy was introduced into our centre of which 3 of whom had a fistula in the bed of the surgical wound. We describe the clinical information of the patients and the therapy that followed in each of the cases. Results: Significant local clinical improvement of the disease, with control of the symptoms, was achieved in all 3 cases. We were able to re-operate to close the fistula in one of the patients, with subsequent good progression of the wound. In the other two cases it gave them a better quality of life although both died due to the overall complexity of their situation. Conclusions: VAC therapy, although controversial in the treatment of intestinal fistulas, can help to improve the local situation of the wounds, the comfort of the patients and their general situation.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu