Conversion of an enterocutaneous fistula associated with an open abdominal wound into a drain- controlled
Colleen M Trevino1, Amy Verhaalen2, Marie L Bruce2
1Medical College of Wisconsin, Milwaukee, WI;
Abstract:
Open abdominal wounds with enterocutaneous fistulae present health care providers and patients with complex wound management issues. Frequently, large wounds with exposed bowel are present and require the utilization of multiple wound care modalities to provide a method of control and isolation of fistula effluent to allow for maximum wound healing. This case study presents a unique approach to management of low-output enterocutaneous fistula with an open abdominal wound. Through the use of negative pressure wound therapy, a standard surgical drain, and optimized nutrition, fistula drainage was redirected and the abdominal wound healed, leaving a drain-controlled.
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