Publications by authors named "Frank Werner Brennfleck"
Management of Open Abdominal Wounds With Intestinal Fistula Formation Using a Combination of Negative Pressure Wound Therapy With Instillation and Dwell Time and New Generation Fistula Devices: A Case Report.
Frank Werner Brennfleck Henrik Horst Gerhard Junger Slowik Przemyszlaw Christian Mauerer Stefan Martin Brunner
Wounds
December 2020
Introduction: Open abdominal wounds with intestinal fistula formation are challenging complications in abdominal surgery. Special fistula devices (SFD) used along with negative pressure wound therapy with instillation and dwell time (NPWTi-d), may improve management of these wounds, increasing NPWT dressing durability and helping decrease dressing leakage.
Case Report: A 57-year-old, obese (body mass index: 55 kg/m²) female with a long history of Crohn disease and multiple intestinal resections, presented with an incarcerated parastomal hernia, abscess formation, and septic shock.
Article Synopsis
- * In a study of patients from 2015 and 2016, SSIs were found in 13.5% of cases, with patients who developed SSIs experiencing longer hospital stays (an average of 19 extra days).
- * The financial analysis revealed a significant loss for the hospital—€-7035.65 per SSI case—accumulating to a total deficit of €-802,064.62, indicating a need for better prevention measures and possible adjustments in hospital reimbursement rates.