Development of two enteroatmospheric fistulae after split-thickness skin grafting: a case report.
Ostomy Wound Manage
; 59(6): 48-51, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-23749662
ABSTRACT
An enteroatmospheric fistula is a devastating complication in the open abdomen. Usually the fistula forms before the completion of split-thickness skin graft surgery. A 35-year-old woman admitted with pancreatic and liver injuries, and postoperative sepsis underwent open abdomen treatment and developed two enteroatmospheric fistulae 14 days after split-thickness skin grafting. The complication was believed to have occurred as a result of multiple surgical manipulations for intra-abdominal hemorrhage and skin graft dressing changes. One fistula, measuring 0.5 cm in diameter, was managed using a tailored 20-mL syringe, secured to the surrounding tissues with ostomy paste, and a suction catheter. The other fistula, measuring 1.8 cm in diameter, required insertion of a catheter to collect the effluent. Once the effluent was controlled effectively, a second split-thickness skin graft procedure was performed to facilitate fistula management. The patient remained stable until successful fistula repair 8 months later, and she is now awaiting elective abdominal wall reconstruction. This case study is an important reminder that patients with an open abdomen, even after split-thickness skin grafting, are at risk for enteroatmospheric fistula formation. Once this severe complication occurs, effective control of fistula effluent and subsequent split-thickness skin grafting procedures are needed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transplante de Pele
/
Fístula
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Ostomy Wound Manage
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
China