Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas
Vacuum-assisted closure (VAC) therapy is a widely acknowledged method for chronic and traumatic wound healing.The feasibility of VAC therapy used for the treatment of intestinal fistulas is still a subject of debate. Complex postoperativewounds pose significant therapeutic problems, especially when...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Termedia Publishing House
2011-09-01
|
Series: | Videosurgery and Other Miniinvasive Techniques |
Subjects: | |
Online Access: | http://www.termedia.pl/Case-report-Vacuum-assisted-closure-therapy-in-patients-with-large-postoperative-wounds-complicated-by-multiple-fistulas,42,17371,1,0.html |
id |
doaj-ae32da416dc0401287c8cdc408520e46 |
---|---|
record_format |
Article |
spelling |
doaj-ae32da416dc0401287c8cdc408520e462020-11-24T22:45:55ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882011-09-0163155163Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulasTomasz BanasiewiczMaciej Borejsza-WysockiWiktor MeissnerStanisław MalingerJacek SzmejaTomasz KościńskiAndrzej RatajczakMichał DrewsVacuum-assisted closure (VAC) therapy is a widely acknowledged method for chronic and traumatic wound healing.The feasibility of VAC therapy used for the treatment of intestinal fistulas is still a subject of debate. Complex postoperativewounds pose significant therapeutic problems, especially when there are several fistula openings in thewound area and other sites, usually at the site of previous drains. This paper describes the treatment of three patientsin a critical condition, with complex postoperative wounds complicated by multiple fistulas. Vacuum-assisted closuretherapy was based on effective drainage of the biggest fistula opening and ensuring conditions promoting the healingprocess of other fistulas and the wound. A considerable improvement in general condition and wound healing wasnoted within 2-4 weeks and both the number of fistulas and the volume of excreted contents decreased. After 5-7weeks a significant improvement in wound healing was observed in all patients. Once the general condition of allpatients was considered satisfactory (2-6 months), they underwent surgery aimed at restoration of the digestive tractcontinuity.In our opinion, VAC therapy used for the treatment of postoperative wounds with multiple fistulas in thewound area and other sites should aim mainly at the improvement of patients’ general condition, limitation of thenumber of fistulas as well as accelerated wound healing. This may lead to formation of one stoma-type fistula, whichcan be dressed and cared for by patients until the continuity of the digestive tract has been surgically restored.http://www.termedia.pl/Case-report-Vacuum-assisted-closure-therapy-in-patients-with-large-postoperative-wounds-complicated-by-multiple-fistulas,42,17371,1,0.htmlvacuum-assisted closure (VAC) therapytopical negative pressureenterocutaneous fistula |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tomasz Banasiewicz Maciej Borejsza-Wysocki Wiktor Meissner Stanisław Malinger Jacek Szmeja Tomasz Kościński Andrzej Ratajczak Michał Drews |
spellingShingle |
Tomasz Banasiewicz Maciej Borejsza-Wysocki Wiktor Meissner Stanisław Malinger Jacek Szmeja Tomasz Kościński Andrzej Ratajczak Michał Drews Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas Videosurgery and Other Miniinvasive Techniques vacuum-assisted closure (VAC) therapy topical negative pressure enterocutaneous fistula |
author_facet |
Tomasz Banasiewicz Maciej Borejsza-Wysocki Wiktor Meissner Stanisław Malinger Jacek Szmeja Tomasz Kościński Andrzej Ratajczak Michał Drews |
author_sort |
Tomasz Banasiewicz |
title |
Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas |
title_short |
Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas |
title_full |
Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas |
title_fullStr |
Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas |
title_full_unstemmed |
Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas |
title_sort |
vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas |
publisher |
Termedia Publishing House |
series |
Videosurgery and Other Miniinvasive Techniques |
issn |
1895-4588 |
publishDate |
2011-09-01 |
description |
Vacuum-assisted closure (VAC) therapy is a widely acknowledged method for chronic and traumatic wound healing.The feasibility of VAC therapy used for the treatment of intestinal fistulas is still a subject of debate. Complex postoperativewounds pose significant therapeutic problems, especially when there are several fistula openings in thewound area and other sites, usually at the site of previous drains. This paper describes the treatment of three patientsin a critical condition, with complex postoperative wounds complicated by multiple fistulas. Vacuum-assisted closuretherapy was based on effective drainage of the biggest fistula opening and ensuring conditions promoting the healingprocess of other fistulas and the wound. A considerable improvement in general condition and wound healing wasnoted within 2-4 weeks and both the number of fistulas and the volume of excreted contents decreased. After 5-7weeks a significant improvement in wound healing was observed in all patients. Once the general condition of allpatients was considered satisfactory (2-6 months), they underwent surgery aimed at restoration of the digestive tractcontinuity.In our opinion, VAC therapy used for the treatment of postoperative wounds with multiple fistulas in thewound area and other sites should aim mainly at the improvement of patients’ general condition, limitation of thenumber of fistulas as well as accelerated wound healing. This may lead to formation of one stoma-type fistula, whichcan be dressed and cared for by patients until the continuity of the digestive tract has been surgically restored. |
topic |
vacuum-assisted closure (VAC) therapy topical negative pressure enterocutaneous fistula |
url |
http://www.termedia.pl/Case-report-Vacuum-assisted-closure-therapy-in-patients-with-large-postoperative-wounds-complicated-by-multiple-fistulas,42,17371,1,0.html |
work_keys_str_mv |
AT tomaszbanasiewicz vacuumassistedclosuretherapyinpatientswithlargepostoperativewoundscomplicatedbymultiplefistulas AT maciejborejszawysocki vacuumassistedclosuretherapyinpatientswithlargepostoperativewoundscomplicatedbymultiplefistulas AT wiktormeissner vacuumassistedclosuretherapyinpatientswithlargepostoperativewoundscomplicatedbymultiplefistulas AT stanisławmalinger vacuumassistedclosuretherapyinpatientswithlargepostoperativewoundscomplicatedbymultiplefistulas AT jacekszmeja vacuumassistedclosuretherapyinpatientswithlargepostoperativewoundscomplicatedbymultiplefistulas AT tomaszkoscinski vacuumassistedclosuretherapyinpatientswithlargepostoperativewoundscomplicatedbymultiplefistulas AT andrzejratajczak vacuumassistedclosuretherapyinpatientswithlargepostoperativewoundscomplicatedbymultiplefistulas AT michałdrews vacuumassistedclosuretherapyinpatientswithlargepostoperativewoundscomplicatedbymultiplefistulas |
_version_ |
1725687063384162304 |