Surgical treatment of enterocutaneous fistulas in patients with ventral incisional hernia
OBJECTIVE: To determine the optimal surgical treatment in patients with enterocutaneous fistulas combined with ventral incisional hernia.
MATERIAL AND METHODS: There were 24 patients with enterocutaneous fistulas combined with ventral incisional hernia. Enterocutaneous fistula was noted in 19 cases, enteroatmospheric fistula - in 5 patients.
RESULTS: Simultaneous fistula closure and abdominal wall repair were performed in 14 patients (mesh repair in 5 cases and local approximation of tissues in 9 cases). Postoperative complications occurred in 8 patients, hernia recurrence in long-term period developed in 7 people. Two-stage closure of abdominal wall defect was carried out in 10 patients. Fistula closure was followed by edge-to-edge anterior abdominal wall repair in 5 cases, skin edges were approximated by interrupted sutures or open wound management was performed. There were no postoperative complications and hernia recurrence in this group.
CONCLUSION: Surgical treatment of patients with enterocutaneous fistulas combined with hernia should be performed in two stages, i.e. enterocutaneous fistula closure with subsequent hernia repair.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2022 |
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| Enthalten in: |
Khirurgiia - (2022), 9 vom: 24., Seite 21-26 |
| Sprache: |
Russisch |
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| Weiterer Titel: |
Khirurgicheskoe lechenie naruzhnykh kishechnykh svishchei v posleoperatsionnykh gryzhakh |
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| Beteiligte Personen: |
Kriger, A G [VerfasserIn] |
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| Links: |
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| Themen: |
Enterocutaneous fistula |
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| Anmerkungen: |
Date Completed 09.09.2022 Date Revised 09.09.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.17116/hirurgia202209121 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM34590673X |
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| 245 | 1 | 0 | |a Surgical treatment of enterocutaneous fistulas in patients with ventral incisional hernia |
| 246 | 3 | 3 | |a Khirurgicheskoe lechenie naruzhnykh kishechnykh svishchei v posleoperatsionnykh gryzhakh |
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| 500 | |a Date Completed 09.09.2022 | ||
| 500 | |a Date Revised 09.09.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To determine the optimal surgical treatment in patients with enterocutaneous fistulas combined with ventral incisional hernia | ||
| 520 | |a MATERIAL AND METHODS: There were 24 patients with enterocutaneous fistulas combined with ventral incisional hernia. Enterocutaneous fistula was noted in 19 cases, enteroatmospheric fistula - in 5 patients | ||
| 520 | |a RESULTS: Simultaneous fistula closure and abdominal wall repair were performed in 14 patients (mesh repair in 5 cases and local approximation of tissues in 9 cases). Postoperative complications occurred in 8 patients, hernia recurrence in long-term period developed in 7 people. Two-stage closure of abdominal wall defect was carried out in 10 patients. Fistula closure was followed by edge-to-edge anterior abdominal wall repair in 5 cases, skin edges were approximated by interrupted sutures or open wound management was performed. There were no postoperative complications and hernia recurrence in this group | ||
| 520 | |a CONCLUSION: Surgical treatment of patients with enterocutaneous fistulas combined with hernia should be performed in two stages, i.e. enterocutaneous fistula closure with subsequent hernia repair | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a enterocutaneous fistula | |
| 650 | 4 | |a surgical treatment | |
| 650 | 4 | |a ventral incisional hernia | |
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| 700 | 1 | |a Berelavichus, S V |e verfasserin |4 aut | |
| 700 | 1 | |a Alyautdinov, R R |e verfasserin |4 aut | |
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