Document Detail

Extra-abdominal closure of enterocutaneous fistula.
MedLine Citation:
PMID:  9128227     Owner:  NLM     Status:  MEDLINE    
Enterocutaneous fistula is a dread complication of gastrointestinal disease and gastrointestinal operation. These patients typically have undergone numerous abdominal operations, often with peritoneal contamination, carcinoma, and/or a history of radiation, making operation for repair daunting, if not impossible. We describe a method for closure of enterocutaneous fistula, which we have used successfully in four such patients. After failure of nonsurgical management, each patient's fistula was closed with a combination of skin, muscle, and fascial flaps after intubation of the fistula with a Malecot catheter. No intra-abdominal dissection was necessary. All fistulas healed completely. We recommend this closure in any patient who has failed surgical or nonsurgical therapy or in whom celiotomy is contraindicated or is to be avoided.
R Kearney; W Payne; A Rosemurgy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  63     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-05-15     Completed Date:  1997-05-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  406-9     Citation Subset:  IM    
Department of Surgery, University of South Florida, Tampa, USA.
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MeSH Terms
Cutaneous Fistula / etiology,  surgery*
Intestinal Diseases / complications,  surgery
Intestinal Fistula / etiology,  surgery*
Postoperative Complications
Suture Techniques
Treatment Outcome

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