Surgical Techniques for the Management of Enteroatmospheric Fistulae
Surgical Infections2009Vol. 10(1), pp. 47–52
Citations Over TimeTop 20% of 2009 papers
Athanasios Marinis, Georgios Gkiokas, Georgios Anastasopoulos, Georgios Fragulidis, Theodosios Theodosopoulos, Thomas Kotsis, Dimitrios P. Mastorakos, George Polymeneas, Dionisios Voros
Abstract
The essential principles of our operative strategy are: (1) early intervention; (2) a lateral surgical approach via the circumference of the open abdomen to avoid further damage to the exposed viscera; (3) excision of the involved bowel loop with an end-to-end anastomosis; (4) temporary abdominal closure and coverage of the open abdomen with an absorbable mesh, promoting tissue granulation; (5) skin grafting attempts; and (6) selective use of vacuum-assisted closure.
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