Enterocutaneous fistula: a novel video-assisted approach
| Autor: | Pedro Leão, André Goulart, Carla Rolanda, Hugo Palma Rios |
|---|---|
| Přispěvatelé: | Universidade do Minho |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Enterocutaneous fistula
Anal fistula medicine.medical_specialty Urology Fistula enterocutaneous fistula Colonoscopy Case Report 030230 surgery Medicina Clínica [Ciências Médicas] law.invention 03 medical and health sciences 0302 clinical medicine mini-invasive endoscopy law Medicine Video assisted CLIPS Ciências Médicas::Medicina Clínica computer.programming_language video-assisted anal fistula treatment Video-assisted anal fistula treatment medicine.diagnostic_test business.industry Fistula Intestinal Gastroenterology Mini-invasive endoscopy Obstetrics and Gynecology medicine.disease 3. Good health Surgery Total Colectomy Cyanoacrylate 030220 oncology & carcinogenesis Cirurgia Vídeoassistida business computer |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP Videosurgery and other Miniinvasive Techniques |
| Popis: | Video-assisted anal fistula treatment (VAAFT) is a novel minimally invasive and sphincter-saving technique to treat complex anal fistulas described by Meinero in 2006. An enterocutaneous fistula is an abnormal communication between the bowel and the skin. Most cases are secondary to surgical complications, and managing this condition is a true challenge for surgeons. Postoperative fistulas account for 75-85% of all enterocutaneous fistulas. The aim of paper was to devise a minimally invasive technique to treat enterocutaneous fistulas. We used the same principles of VAAFT applied to other conditions, combining endoluminal vision of the tract with colonoscopy to identify the internal opening. We present a case of a 78-year-old woman who was subjected to a total colectomy for cecum and sigmoid synchronous adenocarcinoma. The postoperative course was complicated with an enterocutaneous fistula, treated with conservative measures, which recurred during follow-up. We performed video-assisted fistula treatment using a fistuloscope combined with a colonoscope. Once we identified the fistula tract, we performed cleansing and destruction of the tract, applied synthetic cyanoacrylate and sealed the internal opening with clips through an endoluminal approach. The patient was discharged 5 days later without complications. Two months later the wound was completely healed without evidence of recurrence. This procedure represents an alternative treatment for enterocutaneous fistula using a minimally invasive technique, especially in selected patients not able to undergo major surgery. (undefined) info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
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