Management of Enteroatmospheric Fistulae with Grade 4 Open Abdomen In Addition Short Bowel Syndrome, In Frozen Abdomen Also Due To These, the Secondary Problems. A New Surgical Technique for Closure of Entreroatmosoheric Fistulae in Frozen Abdomen: Anasto

Abstract

Grade 4 open abdomen is usually result of abdominal infection, sepsis usually because of (EAF)enteroatmospheric fistula. EAF and small bowel with open abdomen are a rare status and one of the biggest problem of surgeon, especially in frozen abdomen. The patients, have all these problems, rarely continue to their life. In a short time they usually die. It is very difficult, these patients to go on their lifes. Many surgeons always try to develop new techniques, approaches and at the past many of them tried but there are no fixed algorithmys, treatment options are determined. For all these problems, especially in frozen abdomen we developed a new technique by benefitting the past experiments of the surgeons and approaches also knowledges about these issues. Negative pressure wound therapy (NPWT) has been used affectively and every kind of literature knowledges about intestinal fistula, short bowel, nutrition. A patient had undergone multiple operations at the different times and because of these had EAF were treated with this technique. We managed the closure of fistula but we could not preserve her from the secondary problems more than 1,5 years during process. According to me, this case, this experiment must be learned by all associations of surgery.

Key words: EAF; Enteroatmospheric fistula; Negative pressure wound therapy; NPWT; Open abdomen; Nutrition; Mucosal flap; Mucosal hypertrophy

DOI: 10.7176/JHMN/83-03