[The use of the synthetic silver coated prosthesis and penduculated omentum flap in the treatment of prostheses infection].
There is a methods of surgical treatment of secondary enteroaortal fistula after infection of vascular prostheses with the use silver prosthesis and great omentum. Secondary enteroaortal fistula is the most serious complication followed infection of vascular prosthesis, with high risk of death rate regardless of different operative methods. Patients is operated and the dracon prosthesis was exchanged to arterial homograft, which is more resistant to infections or subclavio-femoral bypasses. Removing of intestinal fistula included resection of duodenum and gastroenterotomy or duodenorrhaphy. The modification of duodenal fistula provision relies on duodenorraphy and protection of that area and prosthesis with pediculated flap of gastrocolic omentum conducted retrocolicaly in retroperitoneum space. The retrocolical and retroperitoneal omentoplasty seems to be a practical modification of aorto-duodenal fistula treatment with useful protection of duodenal plastic.
Pupka
Artur
A
Katedra i Klinika Chirurgii Naczyniowej, Ogólnej i Transplantacyjnej AM we Wrocławiu. apupka@chirn.am.wroc.pl
Janczak
Dariusz
D
Skóra
Jan
J
Barć
Piotr
P
Pawłowski
Stanisław
S
Ruciński
Artur
A
D001012:Aorta, Abdominal; D001016:Aortic Bodies; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D020099:Coated Materials, Biocompatible; D006801:Humans; D007412:Intestinal Fistula / Q000628:therapy; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000628:therapy*; D012187:Retroperitoneal Space / Q000601:surgery; D012834:Silver; D013524:Surgical Flaps; D016157:Vascular Fistula / Q000628:therapy
D020099:Coated Materials, Biocompatible; D012834:Silver