Vacuum assisted closure system in the management of enterocutaneous fistulae.
BACKGROUND
A very important yet often troublesome element in the conservative management of enterocutaneous fistulae is the protection of the surrounding skin from contact with the effluent. This report describes the successful use of a vacuum assisted closure (VAC) system in dealing with this problem.


METHODS
The results of using the VAC system were studied in three patients with moderate or high volume output enterocutaneous fistulae where conventional treatment had failed to prevent skin excoriation.


RESULTS
The VAC system was found to be highly effective in controlling fistula effluent and in promoting healing of excoriated skin in all three patients. Complete healing of the fistula was also achieved in two of the three patients.


CONCLUSIONS
The VAC system can be an effective and economically viable method of containing fistula effluent and protecting the skin of patients with enterocutaneous fistulae. Contrary to conventional thought, the VAC system may also actually promote healing of the fistula.
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Colorectal Surgical Unit and Intestinal Failure Clinic, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Northern Ireland, UK.
George
K J
KJ
Donnelly
J
J
Irwin
S T
ST
Gardiner
K R
KR
D000328:Adult; D000714:Anastomosis, Surgical; D017577:Cutaneous Fistula / Q000150:complications* / Q000628:therapy; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000601:surgery; D012867:Skin / Q000293:injuries*; D014618:Vacuum; D014846:Vulvar Neoplasms / Q000601:surgery; D014945:Wound Healing