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Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
MUNOZ-RUIZ, Edwin Oveimar; BRAVO-FLOREZ, Natalia María; HERRERA-CHAPARRO, Jorge Augusto and VALLEJO-VALLECILLA, Guillermo. New technique to control enterocutaneous fistulas contamination in open abdomen Björck 4. Capillarity method (MECA). rev. colomb. cir. [online]. 2022, vol.37, n.1, pp.90-95. Epub Mar 18, 2022. ISSN 2011-7582. https://doi.org/10.30944/20117582.939.
Introduction.
Enterocutaneous fistula is a complex pathology that can be the result of multiple surgical interventions of the abdominal cavity. We describe a new technique for the control of contamination in patients with enterocutaneous fistulas in the open abdomen Björck 4.
Methods.
A retrospective analysis of four patients with enterocutaneous fistulas developed as a complication of abdominal surgical procedures was performed. They were treated by a multidisciplinary team of Intensive Care, General Surgery, Nutritional support and Wound and ostomy care. A novel surgical technique based on the capillarity principle was used to keep the periostomies tissues clean.
Results.
With this technique, control of abdominal contamination was achieved in all patients and a satisfactory clinical evolution. Later they were scheduled for definitive surgical closure with total success.
Conclusions.
The management of an enterocutaneous fistula represents a challenge for the surgeon and the multidisciplinary group that treats these patients. This new technique used in patients with an enterocutaneous fistula with open abdomen Björck 4 is based on the principle of capillarity action, and is effective in controlling contamination, infection, and associated sepsis.
Keywords : intestinal fistula; capillary; peritonitis; sepsis; general surgery.