Experience in vacuum therapy of incomplete intestinal fistula treatment
https://doi.org/10.17650/2408-9613-2016-3-4-24-33
Abstract
Introduction: Treatment of patients with incomplete intestinal fistula remains an actual problem of modern surgery. Incomplete intestinal fistula is 1-2 % of all post-surgical complications after surgery in abdominal cavity organs. Mortality with incomplete intestinal fistula gets to 20-90 % and patients with high small intestine fistula are at the biggest risk.
Study purposes: Analysis of vacuum therapy (negative pressure wound treatment or NPWT) in cases of incomplete intestinal fistula.
Materials and methods: NPWT was applied at 14 patients with incomplete intestinal fistula after different surgeries in abdominal cavity organs. The age of patients was from 18 till 81, the average was 56,9 years. In general, there were females in the study group – 9 ones (64 %).
Results: NPWT at patients with external incomplete intestinal fistula allows to stop inflammatory complications two-three times quicker, then other methods. Vacuum therapy also increases the possibility of independent intestinal fistula closure, or the timelines of reformation into formed tube fistula with lower level of intestinal loss is 1,5-2 times less.
Conclusion: The use of NPWT in incomplete intestinal fistula treatment allows to stop purulent-inflammatory complications within a short time, increases reparative potential of surrounding tissues, stimulates the growth of granulation bank, due to that this method increases the possibility of incomplete intestinal fistula closure.
About the Authors
V. A. Doday
MBUZ GKB №8;
YUGMU
Russian Federation
Russian Federation
Purulent surgery and coloproctology department, 28 Gorkiy Str., Chelyabinsk, 454071;
Hospital surgery department, 64 Vorovskiy Str., Chelyabinsk, 454092
D. L. Borisov
MBUZ GKB №8;
YUGMU
Russian Federation
Russian Federation
Purulent surgery and coloproctology department, 28 Gorkiy Str., Chelyabinsk, 454071;
Hospital surgery department, 64 Vorovskiy Str., Chelyabinsk, 454092
Z. I. Terushkova
MBUZ GKB №8;
YUGMU
Russian Federation
Russian Federation
Purulent surgery and coloproctology department, 28 Gorkiy Str., Chelyabinsk, 454071;
Hospital surgery department, 64 Vorovskiy Str., Chelyabinsk, 454092
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Review
For citations:
Doday V.A., Borisov D.L., Terushkova Z.I. Experience in vacuum therapy of incomplete intestinal fistula treatment. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2016;3(4):24-33. (In Russ.) https://doi.org/10.17650/2408-9613-2016-3-4-24-33
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