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.

scholarly journals Compared With a Nasointestinal Route, Pre-operative Enteral Nutrition via a Nasogastric Tube Reduced the Incidence of Acalculous Acute Cholecystitis After Definitive Surgery for Small Intestinal Fistula

2021 ◽  
Vol 8 ◽  
Author(s):  
Zheng Yao ◽  
Weiliang Tian ◽  
Xin Xu ◽  
Risheng Zhao ◽  
Yunzhao Zhao
Keyword(s):  
Enteral Nutrition ◽  
Acute Cholecystitis ◽  
Nasogastric Tube ◽  
Clinical Characteristics ◽  
Intestinal Fistula ◽  
Small Intestinal ◽  
The Difference ◽  
Definitive Surgery ◽  
Intestinal Fistulas ◽  
Nasointestinal Tube

Purpose: This study aimed to investigate the difference in the efficacy of pre-operative enteral nutrition (EN) via a nasogastric tube (NGT) and pre-operative EN via a nasointestinal tube (NIT) in reducing the incidence of post-operative acalculous acute cholecystitis (AAC) after definitive surgery (DS) for small intestinal fistulas.Methods: Patients with a small intestinal fistula, who had a DS for the disease between January 2015 and March 2021, were enrolled in this study. They were divided into the NIT group and the NGT group based on the pre-operative routes of feeding they received. The clinical characteristics of the two groups were analyzed, and the incidences of post-operative AAC in the two groups were evaluated.Results: A total of 200 patients were enrolled in the study, 85 in the NGT group and 115 in the NIT group. Thirty-one patients developed post-operative AAC (8 in the NGT group and 23 in the NIT group). The incidence of post-operative AAC was 15.5%. EN via the NGT route was associated with a reduction in the incidence of post-operative AAC (adjusted HR = 0.359; 95% CI: 0.139–0.931; P = 0.035).Conclusion: Pre-operative EN via the NGT may reduce the incidence of post-operative AAC in patients who received a DS for small intestinal fistulas.

scholarly journals Closure of intestinal fistulas

1929 ◽  
Vol 25 (10) ◽  
pp. 1037-1043
Author(s):  
I. I. Sadovsky
Keyword(s):  
Mental State ◽  
Physical Condition ◽  
Intestinal Fistula ◽  
Intestinal Fistulas

The treatment of intestinal fistulas is one of the most difficult tasks for the practical surgeon. It is known how much the sick with this disease are burdened by their suffering. The constant uncontrollable discharge of discharge from the intestinal fistula, often with a fecal odor, poisons the atmosphere around the patient and makes his existence painful both for himself and for those around him. This is reflected in the mental state of patients; depression of the psyche, general discontent and severe hypochondria appears. The physical condition of patients with intestinal fistula is upset differently depending on the level of the intestine, on which the fistula is located, on the nature of the fistula and the amount of discharge. Due to severe disorders, patients agree to any operation that is offered to them.

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

Pacifying the open abdomen with concomitant intestinal fistula: a novel approach

2010 ◽  
Vol 199 (4) ◽  
pp. e48-e50 ◽  
Author(s):  
Brian Layton ◽  
Joe DuBose ◽  
Shawnn Nichols ◽  
James Connaughton ◽  
Tracy Jones ◽  
...  
Keyword(s):  
Open Abdomen ◽  
Intestinal Fistula ◽  
Novel Approach

Right common iliac arterio-intestinal fistula caused by tubercular peritonitis: Report of a case

Surgery Today ◽  
1993 ◽  
Vol 23 (1) ◽  
pp. 78-80 ◽  
Author(s):  
Isao Iwamoto ◽  
Yoshiomi Takechi ◽  
Hiroshi Tomoe ◽  
Toshio Shimayama ◽  
Masao Edagawa ◽  
...  
Keyword(s):  
Intestinal Fistula

Vesico-intestinal fistula—Actual and incipient

1943 ◽  
Vol 59 (3) ◽  
pp. 526-535 ◽  
Author(s):  
Joseph A. Lazarus ◽  
Morries S. Marks
Keyword(s):  
Intestinal Fistula

scholarly journals Negative pressure therapy for management of patients with enterocutaneous fistulas

2020 ◽  
pp. 90-92
Author(s):  
A. E. Demko ◽  
I. M. Batyrshin ◽  
J. S. Ostroumova ◽  
D. S. Sklizkov ◽  
D. V. Fomin
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Negative Pressure Therapy ◽  
Wound Therapy ◽  
Comparable Group ◽  
Pressure Therapy ◽  
Saint Petersburg ◽  
Early Closure ◽  
Surgical Tactics ◽  
Intestinal Fistulas

Objective: To assess the benefits of negative pressure wound therapy (NPWT) in complex therapy of patients with enterocuta‑ neous fistulas.Methods: From 2014 to 2019 in Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, 24 patients were managed with vacuum assisted techniques. For comparison, a comparable group of 23 observations (control) was formed retrospectively based on an analysis of medical records.Results: When using NPWT, the terms of wound cleansing and the formation of a laparostomy were reduced, and conditions were created for its early closure. With a small laparostomy, the use of NPWT contributed to self-epithelialization of the wound around the fistula.Conclusions: The use of NPWT more than halves the time of formation of a laparostomy, shortens the time for cleansing the wound and creates the conditions for its closure. Surgical tactics using NPWT can more than three times reduce the number of local complications in patients with unformed intestinal fistulas and less often change the combination of antibacterial drugs. 

scholarly journals About the preliminary dissection of the bladder for the purpose of treatment of the vesicogenous and vesicular-intestinal fistulas

1895 ◽  
Vol 9 (4) ◽  
pp. 425-426
Author(s):  
N. Kakushkin
Keyword(s):  
Vesicovaginal Fistula ◽  
Bladder Stone ◽  
Intestinal Fistulas

In a 6-year-old girl, whose bladder stone was removed two years ago, the author successfully sutured a vesicovaginal fistula formed at the site of ulceration caused by a stone.

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