A novel method for managing enterocutaneous fistulae in the open abdomen using a pedicle flap.

Autor: Stephensen, BD, Brown, J, Lambrianides, AL
Předmět:
Zdroj: Journal of Surgical Case Reports; Jun2012, Vol. 2012 Issue 6, p5-5, 1p
Abstrakt: A significant proportion of patients with severe intra-abdominal sepsis are managed by leaving the peritoneal cavity open in an attempt to control the infective process, regardless of aetiology. However, a considerable number of these patients develop enterocutaneous fistulae, which compound the clinical situation and delay closure of the peritoneal cavity. We propose a new method of dealing with such fistulae, by simply fashioning a direct pedicle flap to patch the fistulous opening. This method allows control of the fistula and facilitates early closure of the abdomen. [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index