TY - JOUR
T1 - Abdominal wall defect and enterocutaneous fistula treatment with the vacuum-assisted closure (V.A.C.) system
AU - Erdmann, D.
AU - Drye, C.
AU - Heller, L.
AU - Wong, Michael S
AU - Levin, L. S.
PY - 2001
Y1 - 2001
N2 - 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).
AB - 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).
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M3 - Article
C2 - 11743402
AN - SCOPUS:0035664632
VL - 108
SP - 2066
EP - 2068
JO - Plastic and Reconstructive Surgery
JF - Plastic and Reconstructive Surgery
SN - 0032-1052
IS - 7
ER -