title: The use of the Flexi-Seal Faecal Management System in laparostomy wounds involving enterocutaneous fistula.
abstract: We present an innovative application of the Flexi-Seal Faecal Management System (FMS) for the diversion of upper and lower gastrointestinal secretions from enterocutaneous fistulae associated with complex wounds. Fistula is a common complication after the formation of a laparostomy, secondary to cases of severe intra-abdominal sepsis, acute mesenteric ischaemia, necrotising infection of the abdominal wall, or intra-abdominal hypertension. A significant mortality rate is associated with such fistula. With the successful continent diversion of gastrointestinal secretions by the Flexi-Seal FMS, abdominal wounds can be successfully skin-grafted, and wound healing expedited.
authors.affiliation: Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK. hardwickej@doctors.org.uk
authors.forename: Joseph
authors.initials: J
authors.lastname: Hardwicke
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Wright
authors.forename: Rachel
authors.initials: R
authors.lastname: Hargest
authors.forename: William
authors.initials: W
authors.lastname: Dickson
mesh_terms: D000005:Abdomen / Q000601:surgery; D000368:Aged; D002408:Catheters, Indwelling; D004766:Enterostomy / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D008297:Male; D016038:Skin Transplantation / Q000379:methods; D014945:Wound Healing