Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas

Tomasz Banasiewicz; Maciej Borejsza-Wysocki; Wiktor Meissner; Stanisław Malinger; Jacek Szmeja; Tomasz Kościński; Andrzej Ratajczak; Michał Drews

doi:10.5114/wiitm.2011.24694

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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vol. 6

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abstract:

Case report

Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas

Tomasz Banasiewicz

,

Maciej Borejsza-Wysocki

,

Wiktor Meissner

,

Stanisław Malinger

,

Jacek Szmeja

,

Tomasz Kościński

,

Andrzej Ratajczak

,

Michał Drews

Videosurgery and other miniinvasive techniques 2011; 6 (3): 155-163

DOI: https://doi.org/10.5114/wiitm.2011.24694

Online publish date: 2011/09/30

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AMA

Banasiewicz T, Borejsza-Wysocki M, Meissner W, et al. Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas. Videosurgery and Other Miniinvasive Techniques. 2011:155-163. doi:10.5114/wiitm.2011.24694.

APA

Banasiewicz, T., Borejsza-Wysocki, M., Meissner, W., Malinger, S., Szmeja, J.,  & Kościński, T. et al. (2011). Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas. Videosurgery and Other Miniinvasive Techniques, 155-163. https://doi.org/10.5114/wiitm.2011.24694

Chicago

Banasiewicz, Tomasz, Maciej Borejsza-Wysocki, Wiktor Meissner, Stanisław Malinger, Jacek Szmeja, Tomasz Kościński,  and Andrzej Ratajczak et al. 2011. "Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas". Videosurgery and Other Miniinvasive Techniques: 155-163. doi:10.5114/wiitm.2011.24694.

Harvard

Banasiewicz, T., Borejsza-Wysocki, M., Meissner, W., Malinger, S., Szmeja, J., Kościński, T., Ratajczak, A.,  and Drews, M. (2011). Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas. Videosurgery and Other Miniinvasive Techniques, pp.155-163. https://doi.org/10.5114/wiitm.2011.24694

MLA

Banasiewicz, Tomasz et al. "Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas." Videosurgery and Other Miniinvasive Techniques, 2011, pp. 155-163. doi:10.5114/wiitm.2011.24694.

Vancouver

Banasiewicz T, Borejsza-Wysocki M, Meissner W, Malinger S, Szmeja J, Kościński T et al. Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas. Videosurgery and Other Miniinvasive Techniques. 2011:155-163. doi:10.5114/wiitm.2011.24694.

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Vacuum-assisted closure (VAC) therapy is a widely acknowledged method for chronic and traumatic wound healing. The feasibility of VAC therapy used for the treatment of intestinal fistulas is still a subject of debate. Complex postoperative wounds pose significant therapeutic problems, especially when there are several fistula openings in the wound area and other sites, usually at the site of previous drains. This paper describes the treatment of three patients in a critical condition, with complex postoperative wounds complicated by multiple fistulas. Vacuum-assisted closure therapy was based on effective drainage of the biggest fistula opening and ensuring conditions promoting the healing process of other fistulas and the wound. A considerable improvement in general condition and wound healing was noted within 2-4 weeks and both the number of fistulas and the volume of excreted contents decreased. After 5-7 weeks a significant improvement in wound healing was observed in all patients. Once the general condition of all patients was considered satisfactory (2-6 months), they underwent surgery aimed at restoration of the digestive tract continuity.In our opinion, VAC therapy used for the treatment of postoperative wounds with multiple fistulas in the wound area and other sites should aim mainly at the improvement of patients’ general condition, limitation of the number of fistulas as well as accelerated wound healing. This may lead to formation of one stoma-type fistula, which can be dressed and cared for by patients until the continuity of the digestive tract has been surgically restored.

keywords:

Vacuum-assisted closure therapy in patients with large postoperative wounds complicated by multiple fistulas

Tomasz Banasiewicz , Maciej Borejsza-Wysocki , Wiktor Meissner , Stanisław Malinger , Jacek Szmeja , Tomasz Kościński , Andrzej Ratajczak , Michał Drews

vacuum-assisted closure (VAC) therapy, topical negative pressure, enterocutaneous fistula

Tomasz Banasiewicz

,

Maciej Borejsza-Wysocki

,

Wiktor Meissner

,

Stanisław Malinger

,

Jacek Szmeja

,

Tomasz Kościński

,

Andrzej Ratajczak

,

Michał Drews