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An alternative negative pressure treatment for enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence

BACKGROUND: To investigate the efficacy of an alternative negative pressure treatment for the treatment of enteroatmospheric fistula transformed from small intestinal leakage due to incision dehiscence after abdominal surgery. METHODS: Patients with an enteroatmospheric fistula from small intestinal...

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Autores principales: Sun, Ran, Xu, Xin, Luo, Shikun, Zhao, Risheng, Tian, Weiliang, Huang, Ming, Yao, Zheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663902/
https://www.ncbi.nlm.nih.gov/pubmed/38027701
http://dx.doi.org/10.1016/j.heliyon.2023.e22045
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author Sun, Ran
Xu, Xin
Luo, Shikun
Zhao, Risheng
Tian, Weiliang
Huang, Ming
Yao, Zheng
author_facet Sun, Ran
Xu, Xin
Luo, Shikun
Zhao, Risheng
Tian, Weiliang
Huang, Ming
Yao, Zheng
author_sort Sun, Ran
collection PubMed
description BACKGROUND: To investigate the efficacy of an alternative negative pressure treatment for the treatment of enteroatmospheric fistula transformed from small intestinal leakage due to incision dehiscence after abdominal surgery. METHODS: Patients with an enteroatmospheric fistula from small intestinal leakage owing to incision dehiscence following abdominal surgery between January 2010 and December 2019 were retrospectively reviewed. RESULTS: A total of 83 patients (mean age: 38.3 ± 11.6 years; Body mass index: 19.9 ± 2.2 kg/m(2)) were enrolled. Of the 83 patients, 59 (71.1 %) achieved fistula closure. High-output fistula (Hazard ratio = 0.48; 95 % Confidence interval: 0.29–0.81; P = 0.006) and abdominal wall thickness >2 cm (Hazard ratio = 2.76; 95 % Confidence interval: 1.35–5.67; P = 0.006) were identified as factors affecting fistula closure. Lastly, 11/83 (13.3 %) patients exhibited re-dehiscence. CONCLUSION: Appropriately applying the alternative negative pressure treatment may enable fistula closure in patients with enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence.
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spelling pubmed-106639022023-11-04 An alternative negative pressure treatment for enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence Sun, Ran Xu, Xin Luo, Shikun Zhao, Risheng Tian, Weiliang Huang, Ming Yao, Zheng Heliyon Research Article BACKGROUND: To investigate the efficacy of an alternative negative pressure treatment for the treatment of enteroatmospheric fistula transformed from small intestinal leakage due to incision dehiscence after abdominal surgery. METHODS: Patients with an enteroatmospheric fistula from small intestinal leakage owing to incision dehiscence following abdominal surgery between January 2010 and December 2019 were retrospectively reviewed. RESULTS: A total of 83 patients (mean age: 38.3 ± 11.6 years; Body mass index: 19.9 ± 2.2 kg/m(2)) were enrolled. Of the 83 patients, 59 (71.1 %) achieved fistula closure. High-output fistula (Hazard ratio = 0.48; 95 % Confidence interval: 0.29–0.81; P = 0.006) and abdominal wall thickness >2 cm (Hazard ratio = 2.76; 95 % Confidence interval: 1.35–5.67; P = 0.006) were identified as factors affecting fistula closure. Lastly, 11/83 (13.3 %) patients exhibited re-dehiscence. CONCLUSION: Appropriately applying the alternative negative pressure treatment may enable fistula closure in patients with enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence. Elsevier 2023-11-04 /pmc/articles/PMC10663902/ /pubmed/38027701 http://dx.doi.org/10.1016/j.heliyon.2023.e22045 Text en © 2023 The Authors. Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Article
Sun, Ran
Xu, Xin
Luo, Shikun
Zhao, Risheng
Tian, Weiliang
Huang, Ming
Yao, Zheng
An alternative negative pressure treatment for enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence
title An alternative negative pressure treatment for enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence
title_full An alternative negative pressure treatment for enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence
title_fullStr An alternative negative pressure treatment for enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence
title_full_unstemmed An alternative negative pressure treatment for enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence
title_short An alternative negative pressure treatment for enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence
title_sort alternative negative pressure treatment for enteroatmospheric fistula resulting from small intestinal leakage caused by incision dehiscence
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663902/
https://www.ncbi.nlm.nih.gov/pubmed/38027701
http://dx.doi.org/10.1016/j.heliyon.2023.e22045
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