Prevention of Entero-Atmospheric Fistula: The Initial Closure of the Abdomen
| Autor: | Alexios Fotopoulos, Dionysios Voros, K Dougli, Athanasios Marinis, Georgios Anastasopoulos, G Sarris |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Abdominal compartment syndrome Fistula Abdominal Compartment Syndrome open abdomen entero-atmospheric fistulae Closure (topology) Peritonitis 030230 surgery Abdominal wall 03 medical and health sciences 0302 clinical medicine medicine Severe complication Open abdomen business.industry meshes in open abdomen closure of open abdomen medicine.disease Surgery skin grafts in open abdomen medicine.anatomical_structure 030220 oncology & carcinogenesis Abdomen How I Do It business |
| Zdroj: | Hellenike Cheirourgike. Acta Chirurgica Hellenica |
| ISSN: | 1868-8845 0018-0092 |
| Popis: | Background and Aims The “Open Abdomen” technique for difficult conditions such as trauma, necrotizing pancreatitis, severe peritonitis, reoperations and transplantations have become a very useful way to save patients. The more severe complication of this method are the enteroatmospheric fistulae with a frequency of 5–75% and a mortality up to 42%. So any effort to prevent these is very essential. The aim of this paper is to present methods of the initial (temporary) closure of the abdomen for the prevention of this catastrophe, when early approximation of the abdominal wall is not feasible. Methods and Materials We present two representative case reports and we describe the use of full thickness or split skin grafts as first step for abdominal closure. Results and Conclusions The outcome of our patients by using tissues for temporary abdominal closure seems to have fewer problems than other methods with synthetic materials. We think that this is a reasonable option for the cases where we cannot achieve approximation of the abdominal wall edges in the early days of an open abdomen. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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