[Tissue adhesive treatment of persistent recto-cutaneous fistula following Hartmann procedure].
BACKGROUND
Cutaneous fistulas from the rectal stump after Hartmann procedure are not rare. Rarely do they require operative intervention, but they may result in prolonged skin care during hospitalization.


OBJECTIVE
of study: To describe the use of fibrin glue in the treatment of rectocutaneous fistulas occurring after Hartmann procedure.


METHODS
Ten patients underwent irrigation of the fistulous tract followed by fibrin glue injection. The glue was reconstituted using the usual two syringe admixture technique; the tract was catheterized as far as the rectal stump, and the glue was injected as the catheter was withdrawn to skin level.


RESULTS
No complications were noted and the discharge from seven out of ten fistulas dried up completely.


CONCLUSIONS
Biologic glue occlusion of rectocutaneous fistulas simplified local care and decreased hospital stay.
Fuks
D
D
Services de Chirurgie Viscérale et Digestive, Hôpital Nord - Amiens.
Bréhant
O
O
Dumont
F
F
Viart
L
L
Manaouil
D
D
Bartoli
E
E
Yzet
T
T
Mauvais
F
F
Regimbeau
J M
JM
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000295:instrumentation; D003125:Colostomy / Q000009:adverse effects*; D017577:Cutaneous Fistula / Q000628:therapy*; D004239:Diverticulitis, Colonic / Q000601:surgery; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011351:Proctoscopy; D012003:Rectal Fistula / Q000628:therapy*; D012810:Sigmoid Diseases / Q000601:surgery; D012811:Sigmoid Neoplasms / Q000601:surgery; D007507:Therapeutic Irrigation; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives