Management of enteroatmospheric fistulae

Terzi, Cem; Egeli, Tufan; Canda, Aras Emre; Arslan, Naciye Çiğdem

doi:10.1111/iwj.12288

Cited by 42 publications

(46 citation statements)

References 29 publications

(43 reference statements)

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“…In abdominal trauma, anastomotic leak is one of the most morbid complications [1, 27–30] and hypoperfusion is an important factor for its development. Consequently, different strategies have been developed for the prevention and resolution of hypoperfusion such as goal-directed resuscitation [9, 31] and goal-directed fluid replacement [25, 32].…”

Section: Discussionmentioning

confidence: 99%

Low values of central venous oxygen saturation (ScvO2) during surgery and anastomotic leak of abdominal trauma patients

Isaza‐Restrepo

Moreno-Mejia²,

Martín-Saavedra

et al. 2017

World J Emerg Surg

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BackgroundThere is a well known relationship between hypoperfusion and postoperative complications like anastomotic leak. No studies have been done addressing this relationship in the context of abdominal trauma surgery. Central venous oxygen saturation is an important hypoperfusion marker of potential use in abdominal trauma surgery for identifying the risk of anastomotic leak development. The purpose of this study was to identify the relationship between low values of central venous oxygen saturation and anastomotic leak of gastrointestinal sutures in the postoperative period in abdominal trauma surgery.MethodsA cross-sectional prospective study was performed. Patients over 14 years old who required surgical gastrointestinal repair secondary to abdominal trauma were included. Anastomotic leak diagnosis was confirmed through clinical manifestations and diagnostic images or secondary surgery when needed. Central venous oxygen blood saturation was measured at the beginning of surgery through a central catheter. Demographic data, trauma mechanism, anatomic site of trauma, hemoglobin levels, abdominal trauma index, and comorbidities were assessed as secondary variables.ResultsPatients who developed anastomotic leak showed lower mean central venous oxygen saturation levels (60.0% ± 2.94%) than those who did not (69.89% ± 7.21%) (p = 0.010).ConclusionsCentral venous oxygen saturation <65% was associated with the development of gastrointestinal leak during postoperative time of patients who underwent surgery secondary to abdominal trauma.

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Section: Discussionmentioning

confidence: 99%

Low values of central venous oxygen saturation (ScvO2) during surgery and anastomotic leak of abdominal trauma patients

Isaza‐Restrepo

Moreno-Mejia²,

Martín-Saavedra

et al. 2017

World J Emerg Surg

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“…Occurrence of enterocutaneous fistula has been observed after NPWT in open abdominal wound. However, the evidence in support of the occurrence of this complication after NPWT is weak[49-51]. …”

Section: Discussionmentioning

confidence: 99%

Systematic review of the negative pressure wound therapy in kidney transplant recipients

Shrestha¹

2016

WJT

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AIMTo review negative pressure wound therapy (NPWT) as an important addition to the conventional methods of wound management.METHODSA systematic review, performed by searching the PubMed, EMBASE and Cochrane Library databases, showed 11 case reports comprising a total of 22 kidney transplantation (KT) patients (range, 1 to 9), who were treated with NPWT. Application of NPWT was associated with successful healing of wounds, leg ulcer, lymphocele and urine leak from ileal conduit.RESULTSNo complications related to NPWT were reported. However, there was paucity of robust data on the effectiveness of NPWT in KT recipients; therefore, prospective studies assessing its safety and efficacy of NPWT and randomised trials comparing the effectiveness of NPWT with alternative modalities of wound management in KT recipients is recommended.CONCLUSIONNegative pressure incision management system, NPWT with instillation and endoscopic vacuum-assisted closure system are in investigational stage.

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“…For this reason, isolation of the intestinal content becomes the only choice so that the intestinal content does not leak into the peritoneal cavity continuously. An abdominal wound will granulate around the fistula in a relatively short time and provide natural protection (6). In rare situations, it is possible to close small holes with acellular human dermal matrix or autogenous split-thickness skin grafts (7).…”

Section: Discussionmentioning

confidence: 99%