Management of Enteroatmospheric Fistula (EAF) Using a Fistula-Vacuum Assisted Closure (VAC) in a Complicated Abdominal Trauma Case.
| Autor: | English CJ; Trauma Surgery, A.T. Still University - Kirksville College of Osteopathic Medicine, Kirksville, USA., Sodade OE; Trauma Research, Mercy Hospital, Springfield, MO, USA., Austin CL; Trauma Research, Mercy Hospital, Springfield, MO, USA., Hall JL; Trauma Surgery, Mercy Hospital, Springfield, MO, USA., Draper BB; Trauma Surgery, Mercy Hospital, Springfield, MO, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Apr 17; Vol. 15 (4), pp. e37668. Date of Electronic Publication: 2023 Apr 17 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.37668 |
| Abstrakt: | Enteroatmospheric fistula (EAF) is a relatively rare complication of patients undergoing open abdomen (OA) for damage control surgery. Mortality rates are high due to the increased risk of peritonitis, intraabdominal abscess, sepsis, and new perforations. There are a wide range of EAF management therapies in the literature, however, there are limited options on cases involving fistula-vaccum assisted closure (VAC) therapy. This case describes the treatment course of a 57-year-old, male admitted for blunt abdominal trauma secondary to a motor vehicle accident. Upon admission the patient underwent damage control surgery. The surgeons elected to have the patient's abdomen open, applying a mesh to promote healing. After several weeks of hospitalization an EAF was discovered in the abdominal wound subsequently managed by utilizing a fistula-VAC technique. Based on the successful outcome of this patient, fistula-VAC was shown as an effective way to promote wound healing while reducing the chances of complications. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, English et al.) |
| Databáze: | MEDLINE |
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