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PubMed2004

Late intestinal fistula formation after incisional hernia using intraperitoneal mesh.

Enteric fistulas are a rare but serious complication following the repair of an incisional hernia using a prosthesis. We report the case of a 52-year-old man who developed an enterocolocutaneus fistula after incisional hernia repair with intra-abdominal polyester mesh. This case shows that one may want to avoid placing the parietal prostheses in direct contact with intestinal loops.

Cicatrix↗
PubMed1981

[External intestinal fistulae. Clinical treatment. Surgical treatment].

There are 105 cases shown, all of them as a consequence of surgical operations or external traumatisms or surgery in the duodenum, jejunum, ileum and colon. These 105 cases were divided into two major groups: 1) simple and 2) multiple. 76 of the first group and 29 of the second group were treated. An equal therapeutic criterion was followed independently of the etiology. In the first stage the surgical cleaning of the wound was made and it was washed and vacuum cleaned with a solution of lactic acid. The surgery is only used in the complicated cases. The nutrition intravenous therapeutic of hidroelectrolitic and blood volume replacement was installed, besides, this system is used for the antibiotheraphy. The success of the parenteral nutrition depends upon the control of the sepsis. In cases where it is possible, the enteral nutrition is started only after 10 days of treatment. Before surgery on the fistula, the medical treatment is maintained, at least, during 4 weeks, which in some cases could be extended up to a maximum of six months. The fistula reappears again when the surgery is performed too soon. When the process is restrained, the nutritive condition is improved and the sepsis is controlled, the surgery takes place to reestablish the intestinal passage. The 47,7% of the cases recovered with only medical treatment. It is evident that late surgery improves the results, since of 22 cases, where surgery was performed, 86,3% cured, and which in turn represents 18% of the total cases.

Adolescent↗
PubMed1980

Intestinal fistula following pelvic exenterative surgery: predisposing causes and treatment.

An interest fistula is a life-threatening complication when associated with the treatment of pelvic cancer. Such fistulae arise in 10% of patients treated by the combination of aggressive surgery and radiation therapy. Nineteen such occurrences developing in 245 patients who had pelvic exenterations are used to demonstrate the need for directing immediate attention toward correcting the physiologic and metabolic abnormalities created by the fistulae. Local control of the fistulae is facilitated by techniques for identifying its cause and precise location.

Female↗