title: [A novel device for treating enteroatmospheric fistulae in the open abdomen].
abstract: The formation of an enteroatmospheric fistula in the open abdomen is a severe complication. In comparison to enterocutaneous fistulae the management remains a challenge. Safety of the surrounding bowel or granulation tissue is a major problem. Suturing of the fistula is rarely successful. Otherwise limited resection and a new anastomosis of the intestine is often not possible. A variety of therapeutic procedures exists to separate the fistula from the surrounding wound. Combinations using vacuum therapy seem to be most effective. But none of the therapies used will match every situation. We present a novel -device for managing enteroatmospheric fistulae in combination with vacuum therapy. In most -cases separation of the fistula from the negative pressure on the surrounding wound is achieved. The fistula adapter allows for a safe build-up of granulation tissue with an effective drainage of fistula secretion. The novel device also supports split thickness skin grafting around the fistula.
authors.affiliation: Universitätsklinikum Magdeburg A. ö. R., Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Magdeburg, Deutschland.
authors.forename: O
authors.initials: O
authors.lastname: Jannasch
authors.forename: H
authors.initials: H
authors.lastname: Lippert
authors.forename: J
authors.initials: J
authors.lastname: Tautenhahn
mesh_terms: D058107:Abdominal Wound Closure Techniques / Q000295:instrumentation*; D003125:Colostomy / Q000295:instrumentation; D017577:Cutaneous Fistula / Q000175:diagnosis / Q000601:surgery*; D004867:Equipment Design; D006097:Granulation Tissue / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000601:surgery*; D054843:Negative-Pressure Wound Therapy / Q000295:instrumentation*; D009779:Occlusive Dressings; D019736:Prostheses and Implants; D012086:Reoperation; D012828:Silicones; D016038:Skin Transplantation; D015503:Surgical Sponges; D013536:Suture Techniques / Q000295:instrumentation*
chemical_list: D012828:Silicones; C114834:mepitel