Negative pressure therapy for management of patients with enterocutaneous fistulas
https://doi.org/10.34215/1609-1175-2020-3-90-92
Abstract
Objective: To assess the benefits of negative pressure wound therapy (NPWT) in complex therapy of patients with enterocuta‑ neous fistulas.
Methods: From 2014 to 2019 in Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, 24 patients were managed with vacuum assisted techniques. For comparison, a comparable group of 23 observations (control) was formed retrospectively based on an analysis of medical records.
Results: When using NPWT, the terms of wound cleansing and the formation of a laparostomy were reduced, and conditions were created for its early closure. With a small laparostomy, the use of NPWT contributed to self-epithelialization of the wound around the fistula.
Conclusions: The use of NPWT more than halves the time of formation of a laparostomy, shortens the time for cleansing the wound and creates the conditions for its closure. Surgical tactics using NPWT can more than three times reduce the number of local complications in patients with unformed intestinal fistulas and less often change the combination of antibacterial drugs.
About the Authors
A. E. Demko
Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine;
Military Medical Academy named after C.M. Kirov
Russian Federation
Russian Federation
MD, PhD, professor, deputy chief physician for surgery;
senior researcher of the 2nd Department and Clinic of Surgery for Advanced Medical Doctors,
3 Budapeshtskaya St., Saint Petersburg, 192242
I. M. Batyrshin
Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
MD, PhD,
3 Budapeshtskaya St., Saint Petersburg, 192242
J. S. Ostroumova
Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
MD, Surgical Infections Department,
3 Budapeshtskaya St., Saint Petersburg, 192242
D. S. Sklizkov
Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
MD, Surgical Infections Department,
3 Budapeshtskaya St., Saint Petersburg, 192242
D. V. Fomin
Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
MD, Surgical Infections Department,
3 Budapeshtskaya St., Saint Petersburg, 192242
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Review
For citations:
Demko A.E., Batyrshin I.M., Ostroumova J.S., Sklizkov D.S., Fomin D.V. Negative pressure therapy for management of patients with enterocutaneous fistulas. Pacific Medical Journal. 2020;(3):90-92. (In Russ.) https://doi.org/10.34215/1609-1175-2020-3-90-92
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