Intrarectal negative pressure system in the management of open abdomen with colorectal fistula: A case report

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dc.authoridAksoy, Şemsi Mustafa/0000-0003-3197-5655
dc.authoridyalçın, abdussamed/0000-0001-9745-2502
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authoridyetisir, fahri/0000-0002-8216-1355
dc.authorwosidAksoy, Mehmet/JKH-6721-2023
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidAksoy, Şemsi Mustafa/AAM-9773-2020
dc.authorwosidyalçın, abdussamed/JQW-2480-2023
dc.contributor.authorYetisir, Fahri
dc.contributor.authorSalman, A. Ebru
dc.contributor.authorMamedov, Ruslan
dc.contributor.authorAksoy, Mustafa
dc.contributor.authorYalcin, Abdussamet
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:38:05Z
dc.date.available2024-08-04T20:38:05Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractINTRODUCTION: To present the management of open abdomen with colorectal fistula by application of intrarectal negative pressure system (NPS) in addition to abdominal NPS. PRESENTATION OF CASE: Twenty-year old man had a history of injuries by a close-range gunshot to the abdomen eight days ago and he had been treated by bowel repairs, resections, jejunal anastomosis and Hartman's procedure. He was referred to our center after deterioration, evisceration with open abdomen and enteric fistula in septic shock. There were edematous, fibrinous bowels and large multiple fistulas from the edematous rectal stump. APACHE II, Mannheim Peritoneal Index and Bjorck scores were 18, 33 and 3, respectively (expected mortality 100%). After intensive care for 5 days, he was treated by abdominal and intrarectal NPS. NPS repeated for 5 times and the fistula was recovered on day 18 completely. Fascial closure was facilitated with a dynamic abdominal closure system (ABRA) and he was discharged on day 33 uneventfully. There was no herniation and any other problem after 12 months follow-up. DISCUSSION: Management of fistula in OA can be extremely challenging. Floating stoma, fistula VAC, nipple VAC, ring and silo VAC, fistula intubation systems are used for isolation of the enteric effluent from OA. Several biologic dressings such as acellular dermal matrix, pedicled flaps have been used to seal the fistula opening with various success. Resection of the involved enteric loop and a new anastomosis of the intestine is very hard and rarely possible. In all of these reports, usually patients are left to heal with a giant hernia. In contrast to this, there is no hernia in our case during one year follow up period. CONCLUSION: Combination of intra and extra luminal negative pressure systems and ABRA is a safe and successful method to manage open abdomen with colorectal fistula. (C) 2014 The Authors. Published by Elsevier Ltd on behalf of Surgical Associates Ltd.en_US
dc.identifier.doi10.1016/j.ijscr.2014.01.006
dc.identifier.endpage168en_US
dc.identifier.issn2210-2612
dc.identifier.issue3en_US
dc.identifier.pmid24584042en_US
dc.identifier.scopus2-s2.0-84896851602en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage164en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijscr.2014.01.006
dc.identifier.urihttps://hdl.handle.net/11616/96377
dc.identifier.volume5en_US
dc.identifier.wosWOS:000219536600016en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInternational Journal of Surgery Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectNegative pressureen_US
dc.subjectColorectal fistulaen_US
dc.subjectDynamic closureen_US
dc.subjectOpen abdomenen_US
dc.titleIntrarectal negative pressure system in the management of open abdomen with colorectal fistula: A case reporten_US
dc.typeArticleen_US

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