title: Takedown of enterocutaneous fistula and complex abdominal wall reconstruction.
abstract: Key steps in managing patients with enterocutaneous fistulation and an abdominal wall defect include dealing effectively with abdominal sepsis and providing safe and effective nutritional support and skin care, then assessing intestinal and abdominal anatomy, before undertaking reconstructive surgery. The complexity, cost, and morbidity associated with such cases justifies creation of specialized centers in which gastroenterologic, hernia, and plastic surgical expertise, as well as experienced wound and stoma nursing and nutritional and psychological support, can be made available for patients with these challenging problems.
authors.affiliation: Department of Surgery, National Intestinal Failure Centre, Salford Royal NHS Foundation Trust, Eccles Old Road, Salford, Manchester M6 8HD, UK.
authors.forename: Dominic Alexander James
authors.initials: DA
authors.lastname: Slade
authors.forename: Gordon Lawrence
authors.initials: GL
authors.lastname: Carlson
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D058107:Abdominal Wound Closure Techniques; D001672:Biocompatible Materials; D003131:Combined Modality Therapy; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000523:psychology / Q000601:surgery* / Q000628:therapy; D018529:Nutritional Support; D011183:Postoperative Complications / Q000523:psychology / Q000601:surgery; D011300:Preoperative Care; D019651:Plastic Surgery Procedures / Q000379:methods*; D018805:Sepsis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013524:Surgical Flaps
chemical_list: D001672:Biocompatible Materials
keywords: Intestinal failure; Open abdomen; Separation of components; Sepsis; Stoma