Enterokutan fistülün nadir bir sebebi: İntraperitoneal mesh katlantısı

Bu yazıda, intraperitoneal yerleştirilen adezyon bariyerli mesh katlantılarının ince barsağa bası sı sonucu enterokutan fistül geliş en bir olgu sunulmaktadır. Hastadaki mesh çıkarıldıktan sonra fistül eksize edil di ve barsak primer sütürle kapatıldı . F as ya defektine dokunulmaksızın cilt dikil di . Cilt nekrozu sonucu evantrasyon geliş ti . Barsakların üzeri gran ü lasyon dokusu ile kaplandıktan sonra cilt greftiyle kapatıl dı . Olgumuz olası risk faktörleri ve tedavi seçenekleri açısından literatür eşliğinde tartış ıldı.

A rare cause of enterocutaneous fistula : Intraperitoneal mesh fold

In this report, a case of enterocutaneous fistula was presented which was developed due to the compression of folding of the adhesion barrier mesh placed intraperitoneally. After removal of the mesh, fistula was excised and intestine was sutured primarily. The skin was sutured primarily without fascial closure. Eventration was developed as a result of skin necrosis. After surface of the intestine was covered by the granulation tissue, it was closed with autologous skin graft. The case was discussed about possible risk factors and treatment options in the light of pertinent literature.

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