Wirth U, Renz BW, Andrade D, Schiergens TS, Arbogast H, Andrassy J, Werner J, et al.
International wound journal. Date of publication 2018 Oct 1;volume 15(5):722-730.
1. Int Wound J. 2018 Oct;15(5):722-730. doi: 10.1111/iwj.12916. Epub 2018 Mar 30.
Successful treatment of enteroatmospheric fistulas in combination with negative
pressure wound therapy: Experience on 3 cases and literature review.
Wirth U(1), Renz BW(1), Andrade D(1), Schiergens TS(1), Arbogast H(1), Andrassy
J(1), Werner J(1).
Author information:
(1)Department of General, Visceral and Transplantation Surgery, Hospital of the
University of Munich, Munich, Germany.
Enteroatmospheric fistulas (EAF) are rare but challenging and morbid
complications of abdominal surgery and require time- as well as
resource-consuming management. Furthermore, they severely affect patients'
quality of life. Several treatment modalities for EAF management are described in
the literature. We describe 3 consecutive cases of EAF treatment by employing
negative pressure wound therapy (NPWT) along with either a special silicone
fistula adapter or a Silo-Vac-like system in another case to isolate the fistula
from the remaining abdominal wound. Spontaneous fistula closure was achieved in 2
of the 3 cases, and surgical resection of the small bowel segment harbouring EAF
opening was possible in a third case after wound conditioning. The rate of
fistula closure was 100% (n = 3/3). Compartmentalisation of the contaminated area
using NPWT accelerated healing of the open abdominal wound remarkably. In
summary, we present a useful tool for the challenging management of EAF and
review the literature on different treatment options of EAF available today.
© 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
DOI: 10.1111/iwj.12916
PMID: 29600578 [Indexed for MEDLINE]
