The "Fistula VAC," a technique for management of enterocutaneous fistulae arising within the open abdomen: Report of 5 cases
The "Fistula VAC," a technique for management of enterocutaneous fistulae arising within the open abdomen: Report of 5 cases
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DOI：
10.1097/01.ta.0000203588.66012.c4
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发表时间：
2006-02-01
影响因子：
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通讯作者：
Turcinovic, M
中科院分区：
文献类型：
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作者：
Goverman, J;Yelon, JA;Turcinovic, M
背景资料：腹部开放性伤口肠瘘的处理对于那些在损伤控制腹部手术中幸存的患者的护理人员来说仍然是一个重大的临床挑战。打破由肠内容物渗漏引起的组织炎症、感染和脓毒症的循环应该是治疗这些复杂患者的主要目标。我们描述了一种技术，利用真空辅助闭合（VAC），实现控制肠道流从瘘管在开放性腹部wounds.Methods：瘘管-VAC是由标准的海绵用品，负压泵，造口术器具。瘘管VAC每三天更换一次，劈厚皮移植术前，每五天后graft.Results：5例患者进行了应用的瘘管VAC。所有患者的肠内容物均完全转移。这种肠道转移允许成功的皮肤移植在所有患者。在腹部开放性伤口肠瘘患者的治疗中，应将瘘管-VAC的应用视为一种有用的选择。
Background: Management of intestinal fistulae in open abdominal wounds remains a significant clinical challenge for those caring for patients surviving damage control abdominal operations. Breaking the cycle of tissue inflammation, infection, and sepsis, resulting from leakage of enteric contents, should be a major goal in the approach to these complex patients. We describe a technique utilizing vacuum assisted closure (VAC) which achieves control of enteric flow from fistulae in open abdominal wounds.Methods: The fistula-VAC is fashioned from standard sponge supplies, negative pressure pumps, and ostomy appliances. The fistula-VAC was changed every three days prior to split thickness skin grafting, and every five days following grafting.Results: Five patients underwent application of the fistula-VAC. All patients had complete diversion of enteric contents. This enteric diversion allowed for successful skin grafting in all patients.Conclusion:. Application of the fistula-VAC should be considered a useful option in treating patients with intestinal fistulae in open abdominal wounds.