scholarly journals Experience in vacuum therapy of incomplete intestinal fistula treatment

2016 ◽  
Vol 3 (4) ◽  
pp. 24-33
Author(s):  
V. A. Doday ◽  
D. L. Borisov ◽  
Z. I. Terushkova
Keyword(s):  
Intestinal Fistula ◽  
Vacuum Therapy ◽  
Fistula Treatment

scholarly journals Endoluminal vacuum therapy in the management of an esophago-pleural fistula as a complication of Boerhaave syndrome in a patient with eosinophilic esophagitis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carlos Tuñon ◽  
Juan De Lucas ◽  
Jan Cubilla ◽  
Rafael Andrade ◽  
Miguel Aguirre ◽  
...  
Keyword(s):  
Eosinophilic Esophagitis ◽  
Chronic Inflammatory Disease ◽  
Vacuum Therapy ◽  
Esophageal Rupture ◽  
Case Presentation ◽  
Boerhaave Syndrome ◽  
Uncommon Condition ◽  
Fistula Treatment ◽  
Novel Strategy ◽  
Esophageal Perforations

Abstract Background Boerhaave syndrome is an uncommon condition that represents about 15% of all esophageal perforation. A subset of these patients has eosinophilic esophagitis, a chronic inflammatory disease of the esophagus, that carries a risk of perforation of about 2%. Esophageal perforations can rarely result in the development of an esophago-pleural fistula. Treatment of esophago-pleural fistula represent a challenge due to lack of high quality evidence and scarce reported experience. Endoluminal vacuum-assisted therapy could have a role in the management by using the same principle applied in external wounds which provide wound drainage and tissue granulation. Case presentation We report a unique case of a 24-year-old man with eosinophilic esophagitis complicated with an esophageal rupture who developed an esophago-pleural fistula and was successfully managed with a non-surgical approach using endoluminal vacuum-assisted therapy. To our knowledge this could be the first experience reported in a patient with eosinophilic esophagitis. Conclusion Endoluminal vacuum-assisted therapy might be an effective and novel strategy in patients with eosinophilic esophagitis and esophago-pleural fistula as a consequence of Boerhaave syndrome. Appropriately designed studies are required.

ESTIMATION OF EFFICIENCY OF COLLAGEN AND BIOLOGICAL GLUE AT DUODENAL FISTULA IN EXPERIMENT

2018 ◽  
Vol 8 (1) ◽  
pp. 69-75
Author(s):  
R. R. Ishtukov ◽  
M. A. Nartailakov ◽  
V. S. Panteleev ◽  
V. V. Rezyapov
Keyword(s):  
Intestinal Tract ◽  
Histological Study ◽  
Abdominal Cavity ◽  
Suture Line ◽  
Intestinal Fistula ◽  
Duodenal Fistula ◽  
Morphological Studies ◽  
Vascular Congestion ◽  
Dermal Collagen ◽  
Surgical Tactics

Introduction. One of the worst complication of different surgical diseases of abdominal cavity organs and of performed, on that regard, operational interventions, are intestinal festulas including without limitation deodenum fistulas. Longterm experience of surgical treatment of patients with unformed duodenal and high enteric fistulas show that it is feasible to have a clear surgical tactics with account of location level and type of fistulas, their quantity, volume of sarcous reduction, peritonitis and multi-organ failure syndrome. In this regard, the objective of this research is to find optimal surgical tactics and to determine the most effective method of treating duodenum fistulas of various causation.Materials and methods. Experimental work was carried out under conditions of experimentally formed intestinal fistula in rabbits of “Shinshilla” breed. After formation of fistula the animals were divided into 3 groups based on the method of removing artificially installed duodenal fistula: sealing through Albert — Schmieden — Lembert suture without fastening of suture line; sealing through fastening of intestinal suture with biological surgical glue; sealing through fastening with swine dermal collagen. Mechanical constancy of the sutures was measured with pneumocompression of sealed intestinal tract areas as well as with morphological study of surgical wound edges.Results. The results of histological study show that experiments with application of bio-implant demonstrated less vascular congestion and interstitial swelling. Phologistic infiltration also responded more efficiently both quantitatively (manifestation rate) and qualitatively (quick change of cell elements) in the group that used bio-implant.Conclusion. Results of morphological studies and pneumocompression data under modelling of duodenal fistulas in experimental animals show that application of bio-implant helps to earlier restore microcirculatory abnormality. 

URINARY BLADDER AND LARGE INTESTINAL FISTULA AS A COMPLICATION OF RECTOSIGMOID COLON CANCER

2013 ◽  
Vol 12 (2) ◽  
pp. 103-105
Author(s):  
M. H. Hnatiuk ◽  
Yu. P. Petruk ◽  
M. V. Lianskorunskyi ◽  
S. I. Raichuk ◽  
S. Yu. Shevchenko ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Urinary Bladder ◽  
Intestinal Fistula ◽  
Rectosigmoid Colon

Vacuum therapy of trophic ulcer of lower extremities, presented in patients with DFS

2017 ◽  
pp. 40-42 ◽  
Author(s):  
Rimma Aleksandrovna Yurkova ◽  
◽  
Erik Rafailovich Zadykhanov ◽  
Keyword(s):  
Lower Extremities ◽  
Vacuum Therapy

scholarly journals Addressing the fistula treatment gap and rising to the 2030 challenge

2020 ◽  
Vol 148 (S1) ◽  
pp. 9-15 ◽  
Author(s):  
Gillian Slinger ◽  
Lilli Trautvetter
Keyword(s):  
Treatment Gap ◽  
Fistula Treatment

Endoscopic Internal Drainage and Low Negative Pressure Endoscopic Vacuum Therapy for anastomotic leaks after oncologic upper gastrointestinal surgery

Endoscopy ◽  
2021 ◽  
Author(s):  
Carlo Jung ◽  
Rachel Hallit ◽  
Annegret Müller-Dornieden ◽  
Melanie Calmels ◽  
Diane Goere ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Treatment Duration ◽  
Treatment Success ◽  
Univariate Analysis ◽  
Gastrointestinal Surgery ◽  
Vacuum Therapy ◽  
Internal Drainage ◽  
Upper Gi ◽  
Endoscopic Internal Drainage ◽  
Endoscopic Vacuum Therapy

Background: Endoscopic internal drainage (EID) with double pigtail stents and low negative pressure endoscopic vacuum therapy (EVT) are treatment options for leakages after upper GI oncologic surgery. We aimed to compare the effectiveness of these techniques. Patients and methods: Between 2016 and 2019, patients treated with EID in five centers in France and with EVT in Göttingen, Germany were included and retrospectively analyzed using univariate analysis. Pigtails were changed every 4 weeks, EVT was repeated every 3-4 days until leak closure. Results: 35 EID and 27 EVT patients were included, with a median leak size of 0.75 cm (0.5-1.5). Overall treatment success was 100% [CI 90; 100] in EID vs. 85.2% [CI 66.3; 95.8] in EVT, p=0.03. The median number of endoscopic procedures was 2 (2; 3) vs. 3 (2; 6.5), p<0.01 and the median treatment duration was 42 (28; 60) vs. 17 days (7.5; 28), p<0.01, for EID vs. EVT, respectively. Conclusion: EID and EVT provide high closure rates for upper GI anastomotic leakages. EVT provides a shorter treatment duration at the cost of a higher number of procedures.

Stem Cell Therapy for Anal Fistula Treatment – Video Vignette

2021 ◽  
Author(s):  
María Jose Cuevas López ◽  
Maria L Reyes‐Diaz ◽  
Jorge Manuel Vázquez‐Monchul ◽  
Javier Padillo ◽  
Fernando de la Portilla
Keyword(s):  
Stem Cell ◽  
Cell Therapy ◽  
Anal Fistula ◽  
Stem Cell Therapy ◽  
Fistula Treatment ◽  
Video Vignette

scholarly journals Intestinal fistulas occurred after the eventration’s cure with alloplastic procedures

2014 ◽  
Vol 20 (2) ◽  
pp. 97-102
Author(s):  
A. Berro ◽  
Silvia Savin ◽  
D. Costea ◽  
Maria Tomita ◽  
Ana Maria Nichifor ◽  
...  
Keyword(s):  
Intestinal Fistula ◽  
Intestinal Fistulas

Abstract After eventrations’ postoperative cure through alloplastic procedures, intestinal fistulas may occur. The present study is examining a number of possible factors involved in the occurrence of intestinal fistula (type and location of the celiotomy following which appeared the eventration, the type of the net substitutes, co-morbidities and the method of the alloplastic substitution) and its treatment. The analysis was retrospective and it covered 8 (eight) cases of intestinal fistula occurred after the installation of replacement nets for eventration postoperative cure.

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