Apendektomiye Bağlı Bridektomi Sonrası Gelişen Enteroatmosferik Fistülün Yönetimi

Abdominal cerrahinin korkulan bir komplikasyonu olan Entero-atmosferik Fistül, açık karın yönetimindeki gelişmelere rağmen ciddi mortalite oranına sahiptir. Entero-atmosferik Fistüllü hastanın yönetimi, deneyimli cerrahlar ile uzman hemşirelerin yer aldığı multidisipliner bir yaklaşımı ve çok yönlü tedaviyi gerektirir. Biz bu makalede Grade 4 açık abdomenli hastada, Vakum Yardımlı Yara Kapama Tedavisi ile kombine edilen bebek biberon emziği tekniğini bireye özgü modifiye ettiğimiz yöntemiz ile sunmayı amaçladık.

The Management of Enteroatmospheric Fistula Development After Bridectomy Associated with Appendectomy

Enteroatmospheric fistula, which is a fearsome complication of abdominal surgery, has a high rate of mortality despite the developments in open abdomen management. Management of a patient with Enteroatmospheric Fistula requires a multidisciplinary approach and a multifaceted treatment from a team of experienced surgeons and expert nurses. In this article, we aimed to present nursing bottle teat technique combined with vacuum-assisted closure through our own individualized modification method on a patient with a Grade 4 open abdomen.

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  • Björck, M., Kirkpatrick, A. W., Cheatham, M., Kaplan, M., Leppäniemi, A., & De Waele, J. J. (2016). Amended classification of the open abdomen. Scandinavian Journal of Surgery, 105(1), 5-10. https://doi.org/10.1177/1457496916631853
  • Di Saverio, S., Tarasconi, A., Walczak, D. A., Cirocchi, R., Mandrioli, M., Birindelli, A., & Tugnoli, G. (2016). Classification, prevention and management of entero-atmospheric fistula: a state-of-the-art review. Langenbeck's archives of surgery, 401(1), 1-13. https://doi.org/10.1007/s00423-015-1370-3
  • D'Hondt, M., Devriendt, D., Van Rooy, F., Vansteenkiste, F., D'Hoore, A., Penninckx, F., & Miserez, M. (2011). Treatment of small-bowel fistulae in the open abdomen with topical negative-pressure therapy. The American Journal of Surgery, 202(2), e20-e24. https://doi.org/10.1016/j.amjsurg.2010.06.025
  • Eğin, S., Gökçek, B., Yeşiltaş, M., Sağlam, F., & Güney, B. (2019). Management of enteroatmospheric fistula thanks to new isolation technique. Turkısh Journal Of Trauma&Emergency Surgery, 25(1), 80-82. DOI: 10.5505/tjtes.2018.45267
  • Jannasch, O., Lippert, H., & Tautenhahn, J. (2011). A novel device for treating enteroatmospheric fistulae in the open abdomen. Zentralblatt fur Chirurgie, 136(6), 585-589. doi: 10.1055/s-0031-1271428
  • Layton, B., DuBose, J., Nichols, S., Connaughton, J., Jones, T., & Pratt, J. (2010). Pacifying the open abdomen with concomitant intestinal fistula: a novel approach. The American Journal of Surgery, 199(4), e48-e50. https://doi.org/10.1016/j.amjsurg.2009.06.028
  • Leang, Y. J., Bell, S. W., Carne, P., Chin, M., Farmer, C., Skinner, S., ... & Warrier, S. K. (2018). Enterocutaneous fistula: analysis of clinical outcomes from a single Victorian tertiary referral centre. ANZ journal of surgery, 88(1-2), 30-33. https://doi.org/10.1111/ans.13686
  • Marinis, A., Gkiokas, G., Argyra, E., Fragulidis, G., Polymeneas, G., & Voros, D. (2013). “Enteroatmospheric fistulae”—gastrointestinal openings in the open abdomen: a review and recent proposal of a surgical technique. Scandinavian Journal of Surgery, 102(2), 61-68.https://doi.org/10.1177/157496913482252
  • Ramsay, P. T., & Mejia, V. A. (2010). Management of enteroatmospheric fistulae in the open abdomen. The American Surgeon, 76(6), 637-639. https://doi.org/10.1177/000313481007600630
  • Tarasconi, A., Abongwa, H. K., Perrone, G., Franzini, G., Birindelli, A., Segalini, E., ... & Di Saverio, S. (2019). Damage Control and Open Abdomen in Abdominal Injury. In Operative Techniques and Recent Advances in Acute Care and Emergency Surgery, Springer, Cham, 319-327. doi: 10.1007/978-3-319-95114-0_23
  • Tarım, M.A., Kuş, M. (2018). Management of the Enteroatmospheric Fistula. Moray G, Editör. Abdominal Compartment Syndrome and Open Abdominal Management. Ankara: Türkiye Klinikleri. p: 52-6.
  • Terzi, C., Egeli, T., Canda, A. E., & Arslan, N. C. (2014). Management of enteroatmospheric fistulae. International wound journal, 11(s1), 17-21. https://doi.org/10.1111/iwj.12288
  • Ulukent, S. C., Erdem, B., Seyhan, N. A., Canaz, E., Şahbaz, N. A., & Akbayır, Ö. (2016). Management of Enteroatmospheric Fistulae Developing Post Sitoreductive Surgery. Journal of Academic Research in Medicine, 6(2). doi: 10.5152/jarem.2016.929
  • Wright, A., & Wright, M. (2011). Bedside management of an abdominal wound containing an enteroatmospheric fistula: a case report. Ostomy/wound management, 57(1), 28-32.
  • Wirth, U., Renz, B. W., Andrade, D., Schiergens, T. S., Arbogast, H., Andrassy, J., & Werner, J. (2018). Successful treatment of enteroatmospheric fistulas in combination with negative pressure wound therapy: Experience on 3 cases and literature review. International wound journal, 15(5), 722-730. https://doi.org/10.1111/iwj.12916