Takedown of enterocutaneous fistula and complex abdominal wall reconstruction.

Abstract

Key steps in managing patients with enterocutaneous fistulation and an abdominal wall defect include dealing effectively with abdominal sepsis and providing safe and effective nutritional support and skin care, then assessing intestinal and abdominal anatomy, before undertaking reconstructive surgery. The complexity, cost, and morbidity associated with such cases justifies creation of specialized centers in which gastroenterologic, hernia, and plastic surgical expertise, as well as experienced wound and stoma nursing and nutritional and psychological support, can be made available for patients with these challenging problems.

• Authors: Dominic Alexander James Slade, Gordon Lawrence Carlson
• Journal: The Surgical clinics of North America (Surg Clin North Am) Vol. 93 Issue 5 Pg. 1163-83 (Oct 2013) ISSN: 1558-3171 [Electronic] United States
• PMID: 24035080 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2013 Elsevier Inc. All rights reserved.

Chemical References

• Biocompatible Materials

Topics

• Abdominal Wall (surgery)
• Abdominal Wound Closure Techniques
• Biocompatible Materials
• Combined Modality Therapy
• Humans
• Intestinal Fistula (etiology, psychology, surgery, therapy)
• Nutritional Support
• Postoperative Complications (psychology, surgery)
• Preoperative Care
• Plastic Surgery Procedures (methods)
• Sepsis (diagnosis, etiology, therapy)
• Surgical Flaps