Abdominal wall defect and enterocutaneous fistula treatment with the vacuum-assisted closure (V.A.C.) system

D. Erdmann, C. Drye, L. Heller, Michael S Wong, L. S. Levin

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

Reconstructive plastic surgery is frequently required for abdominal wall restoration after defects resulting from necrotizing fasciitis, tumor resection, or wound infection. Crohn's disease is an idiopathic, immunologically mediated disorder of the gastrointestinal tract characterized by segmental, transmural inflammation. Complications include intraabdominal abscess formation and chronic internal and external abdominal fistulas. Crohn's disease complicated by fistula formation is preferably managed surgically by "en bloc" segmental intestine resection.1,2 However, high-output enterocutaneous fistulas may be resistant to surgical management with a loss of large quantities of fluids and resultant metabolic abnormalities. An abdominal wall defect with a high-output enterocutaneous fistula in a patient with Crohn's disease, who had failures in several attempts at surgical closure, was successfully treated with the wound Vacuum-Assisted Closure (V.A.C.) system (Kinetic Concepts, Inc., San Antonio, Texas).

Original languageEnglish (US)
Pages (from-to)2066-2068
Number of pages3
JournalPlastic and Reconstructive Surgery
Volume108
Issue number7
StatePublished - 2001
Externally publishedYes

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Negative-Pressure Wound Therapy
Intestinal Fistula
Abdominal Wall
Crohn Disease
Reconstructive Surgical Procedures
Cutaneous Fistula
Necrotizing Fasciitis
Wound Infection
Plastic Surgery
Abscess
Fistula
Intestines
Gastrointestinal Tract
Therapeutics
Inflammation
Wounds and Injuries
Neoplasms

ASJC Scopus subject areas

  • Surgery

Cite this

Abdominal wall defect and enterocutaneous fistula treatment with the vacuum-assisted closure (V.A.C.) system. / Erdmann, D.; Drye, C.; Heller, L.; Wong, Michael S; Levin, L. S.

In: Plastic and Reconstructive Surgery, Vol. 108, No. 7, 2001, p. 2066-2068.

Research output: Contribution to journalArticle

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