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http://dx.doi.org/10.1016/j.jamcollsurg.2015.04.015 | DOI Listing |
World J Clin Cases
July 2022
Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul 06591, South Korea.
Background: Enteroatmospheric fistula (EAF) is a catastrophic complication that can occur after open abdomen. EAFs cause severe body fluid loss, hypercatabolism, and wound complications, leading to adverse clinical outcomes.
Case Summary: A 72-year-old female patient underwent ventral hernia repair.
Khirurgiia (Mosk)
July 2020
Vishnevsky National Medical Research Center for Surgery of the Ministry of Health of Russia, Moscow, Russia.
Enterocutaneous fistula (ECF) is the most serious postoperative life-threating complication of various abdominal surgical interventions. Treatment of patients with ECF is associated with life-threatening complications including sepsis and septic shock, intestinal failure and severe water-electrolyte disorders that causes high mortality rates (35-75% according to national authors and 6-33% according to foreign colleagues). This issue is especially relevant in the cases of enteroatmospheric fistulae and high ECF with loss of intestinal contents of more than 500 ml per day.
View Article and Find Full Text PDFJ Wound Ostomy Continence Nurs
September 2017
Kersten E. Reider, RN, BSN, CWOCN, WOC Nurse, Reading Health System, West Reading, Pennsylvania.
Background: A 54-year-old morbidly obese woman with a small bowel obstruction and large ventral hernia was admitted to hospital. She underwent an exploratory laparotomy, lysis of adhesions, and ventral hernia repair with mesh placement. She subsequently developed an enteroatmospheric fistula; several months of hospital care was required to effectively manage the wound and contain effluent from the fistula.
View Article and Find Full Text PDFJ Trauma Acute Care Surg
June 2017
From the Department of Abdominal Surgery, Abdominal Center (M.T., P.M., V.S., S.R., A.L.), Helsinki University Hospital and University of Helsinki, Helsinki, Finland; Department of Transplantation and Liver Surgery, Abdominal Center (V.S.), Helsinki University Hospital and University of Helsinki, Helsinki, Finland; and Division of Intensive Care Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine(M.B.), Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Background: Open abdomen (OA) treatment in patients with peritonitis is increasing worldwide. Various temporary abdominal closure devices are being used. This study included patients with complicated diffuse secondary peritonitis, OA, and vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM).
View Article and Find Full Text PDFWorld J Emerg Surg
August 2015
Department of Surgery, University of Colorado, Denver Health Medical Center, Denver, USA.
The open abdomen (OA) procedure is a significant surgical advance, as part of damage control techniques in severe abdominal trauma. Its application can be adapted to the advantage of patients with severe abdominal sepsis, however its precise role in these patients is still not clear. In severe abdominal sepsis the OA may allow early identification and draining of any residual infection, control any persistent source of infection, and remove more effectively infected or cytokine-loaded peritoneal fluid, preventing abdominal compartment syndrome and deferring definitive intervention and anastomosis until the patient is appropriately resuscitated and hemodynamically stable and thus better able to heal.
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