Ovarian cancer is perhaps the most “worst” pathology in women’s genital area and represents the greatest diagnostic challenge and surgical treatment of genital cancers, and as much as the disease has a onset and asymptomatic evolution to the advanced stages or with a confused symptom.
The present study was performed due to the following factors characterizing ovarian cancer: increasing incidence, early diagnosis, lack of screening methods, difficult anatomopathological differentiation even for experienced anatomopathologists.
During a period of three years (01.01.2009-31.12.2011), 17 cases of enterocutaneous fistulas arising from the small intestine were managed.
The majority of the fistulas (76%) resulted from surgical complications. There were 6 females and 11 male patients. The mean age of the patients was 40 years. For 9 out of 17 patients (52%) the fistulae arose from the proximal small gut (duodenum and jejunum) and in the remaining 48%, from the ileum.
Octreotide was used for 11/17 patients (64%). Enteral nutrition was used for 9/17 patients (52%), while re-feed from the proximal gut fistulae was used in 4/9 patients (44%) in order to maintain the nutrition of the above mentioned subjects.
Only one fistula (6%) closed spontaneously. There were 2 deaths (12%) in this study. For 14 out of 17 patients (82%) the surgical intervention at some stage was required for successful closure of intestinal fistula. Aggressive surgical treatment with judicious use of octreotide, nutritional support, stoma care and control of sepsis significantly improves the outcome of small intestinal fistulae.
Surgical integration in the overall ovarian cancer protocol is conditioned by the performance it has allowed in cytoreduction, the benefits obtained in the interest of the patients in terms of risk (postoperative mortality, severe sequelae, oncology survival criterion at 5 years ). Surgical treatment remains the fundamental technical means in the treatment of ovarian cancer. It is performed either in the "first intention" (the strand: High-Probability Clinical Diagnosis, Extemporaneous
After eventrations' postoperative cure through alloplastic procedures, intestinal fistulas may occur. The present study is examining a number of possible factors involved in the occurrence of intestinal fistula (type and location of the celiotomy following which appeared the eventration, the type of the net substitutes, co-morbidities and the method of the alloplastic substitution) and its treatment. The analysis was retrospective and it covered 8 (eight) cases of intestinal fistula occurred after the installation of replacement nets for eventration postoperative cure.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.