HUTAN, Martin, Tomas BANASIEWICZ, Lenka VEVERKOVÁ, Zsolt SZENTKERESZTY, Czaba TOTH, Jan SKULTETY, Christian BARTKO, Augustin PROCHOTSKY and Jaroslav SEKAC. Use of Negative Pressure Wound Therapy in Treatment of Enteroatmospheric Fistulas: Critical Review of the Literature. Negative Pressure Wound Therapy. Poznań: Research Publisher Inc., 2014, vol. 1, No 1, p. 10-16. ISSN 2334-184X.
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Basic information
Original name Use of Negative Pressure Wound Therapy in Treatment of Enteroatmospheric Fistulas: Critical Review of the Literature
Authors HUTAN, Martin (703 Slovakia, guarantor), Tomas BANASIEWICZ (616 Poland), Lenka VEVERKOVÁ (203 Czech Republic, belonging to the institution), Zsolt SZENTKERESZTY (348 Hungary), Czaba TOTH (348 Hungary), Jan SKULTETY (703 Slovakia), Christian BARTKO (703 Slovakia), Augustin PROCHOTSKY (703 Slovakia) and Jaroslav SEKAC (703 Slovakia).
Edition Negative Pressure Wound Therapy, Poznań, Research Publisher Inc. 2014, 2334-184X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Poland
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/14:00077709
Organization unit Faculty of Medicine
Keywords in English negative pressure wound therapy; vacuum therapy; open abdomen; enteroatmospheric fistula
Tags EL OK
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 13/4/2015 14:11.
Abstract
There are a few situations in surgery as challenging as management of open abdomen (OA). Probably the worst and most devastating complication of OA is an exposed (enteroatmospheric) fistula. Such patients have high mortality and morbidity rates. Mortality rates in patients with gastrointestinal fistula is 5-20% increasing up to 66% in the setting of OA. The most important factor attributable to such high mortality rates is septic response to bacterial burden arising from stool content in the open wound. Surgical closure of the fistula is scarcely successful and diversion of the enteral content by means of standard wound care options is ineffective and insufficient. Introduction of novel wound treatment options such as negative pressure wound therapy (NPWT) opened new horizons in the management of OA and its complications. Up to this date no method was accepted as a standard, rather, all of them bear signs of improvisation and creativity. Authors in the article reviewed available up-to-date literature confronting it with their own experiences with the aim of aggregation of information, comparing the methods, and finding the most feasible method and direction for future development of NPWT in treatment of enteroatmospheric fistulas in OA.
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