The "Fistula VAC," a technique for management of enterocutaneous fistulae arising within the open abdomen: report of 5 cases

The Journal of Trauma
Jeremy GovermanMichael Turcinovic

Abstract

Management of intestinal fistulae in open abdominal wounds remains a significant clinical challenge for those caring for patients surviving damage control abdominal operations. Breaking the cycle of tissue inflammation, infection, and sepsis, resulting from leakage of enteric contents, should be a major goal in the approach to these complex patients. We describe a technique utilizing vacuum assisted closure (VAC) which achieves control of enteric flow from fistulae in open abdominal wounds. The fistula-VAC is fashioned from standard sponge supplies, negative pressure pumps, and ostomy appliances. The fistula-VAC was changed every three days prior to split thickness skin grafting, and every five days following grafting. Five patients underwent application of the fistula-VAC. All patients had complete diversion of enteric contents. This enteric diversion allowed for successful skin grafting in all patients. Application of the fistula-VAC should be considered a useful option in treating patients with intestinal fistulae in open abdominal wounds.

References

Oct 1, 1996·American Journal of Surgery·G A DumanianH Edington
Sep 12, 1998·Plastic and Reconstructive Surgery·A M SchneiderL C Argenta
Sep 29, 1998·The Journal of Trauma·B H SaggiG L Bloomfield
Aug 2, 2002·Postgraduate Medical Journal·C CroK R Gardiner
Aug 10, 2002·The Journal of Trauma·Mahesh H SubramaniamAsher Hirshberg

❮ Previous
Next ❯

Citations

Jun 1, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·F EderH Lippert
Jun 16, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·R A Evenson, J E Fischer
Sep 3, 2011·Clinics in Colon and Rectal Surgery·Joshua I S Bleier, Traci Hedrick
Sep 3, 2011·Clinics in Colon and Rectal Surgery·Rebecca E Hoedema, Sree Suryadevara
Sep 3, 2011·Clinics in Colon and Rectal Surgery·Joseph J Dubose, Jonathan B Lundy
Nov 1, 2006·Clinics in Colon and Rectal Surgery·Kathryn L Galie, Charles B Whitlow
Feb 28, 2009·Surgical Infections·Athanasios MarinisDionisios Voros
Sep 21, 2010·Surgical Infections·Matthew C ByrnesJeffrey Chipman
Jan 14, 2011·Plastic and Reconstructive Surgery·Dennis P Orgill, Lauren R Bayer
Jun 24, 2010·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Christoph Franklin
Jan 23, 2014·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Jean M de Leon
Jun 19, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K Starr-Marshall
Jun 7, 2012·World Journal of Surgery·Ruben G J VisschersSteven W M Olde Damink
Aug 28, 2010·Critical Care Medicine·Brett H Waibel, Michael F Rotondo
Jul 16, 2008·Plastic and Reconstructive Surgery·Geoffrey G HallockBrian P Bradow
Jun 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J F Whelan, R R Ivatury
Feb 13, 2016·Langenbeck's Archives of Surgery·Salomone Di SaverioGregorio Tugnoli
Nov 26, 2013·The Surgical Clinics of North America·Demetrios Demetriades, Ali Salim
Mar 15, 2012·The Surgical Clinics of North America·Brett H Waibel, Michael F Rotondo
May 24, 2011·American Journal of Surgery·Mathieu D'HondtMarc Miserez
Sep 9, 2009·Journal of Pediatric Surgery·Satu-Liisa PauniahoColin T Baillie
Mar 1, 2008·Journal of the American College of Surgeons·Hani H HaiderHusain Hayati
Nov 2, 2007·Advances in Surgery·Daniel PerezPierre-Alain Clavien
May 8, 2007·Journal of the American College of Surgeons·Donald E BarkerR Phillip Burns
Sep 2, 2009·International Wound Journal·Philip Stevens
Jul 21, 2009·International Wound Journal·Mona BaharestaniSubhas Gupta
Jun 29, 2012·International Wound Journal·Demetrios Demetriades
Oct 3, 2012·ANZ Journal of Surgery·Tony C PangStuart Pincott
May 24, 2014·International Wound Journal·Cem TerziNaciye C Arslan
Mar 31, 2009·Current Problems in Surgery·Myles R Joyce, David W Dietz
Apr 5, 2016·Military Medical Research·Yu-Hua Huang, You-Sheng Li
Aug 29, 2014·Surgery Today·Cengiz TavusbayMehmet Haciyanli
Jul 1, 2015·Journal of the American College of Surgeons·John T HeinemanDavid J Dries
Nov 28, 2012·The Surgical Clinics of North America·Kurt G Davis, Eric K Johnson
Jul 4, 2013·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·A MarinisD Voros
Jun 12, 2012·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Sarah MajercikThomas White
May 16, 2008·The Annals of Otology, Rhinology, and Laryngology·Brian T AndrewsGerry F Funk
Jul 17, 2015·Journal of Intensive Care Medicine·Cornelia Griggs, Kathryn Butler
Jun 13, 2014·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Jianyi YinJieshou Li
Apr 26, 2019·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Kimberly Dawn Hall, Jessica S Patterson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved