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Management of Septic Open Abdomen in a Morbid Obese Patient with Enteroatmospheric Fistula by Using Standard Abdominal Negative Pressure Therapy in Conjunction with Intrarectal One
Joint Authors
Acar, Hasan
Şarer, Akgün Ebru
Özer, Mehmet
Aygar, Muhittin
Osmanoglu, Gokhan
Yetisir, Fahri
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Management of open abdomen (OA) with enteroatmospheric fistula (EAF) in morbid obese patient with comorbid disease is challenging.
We would like to report the management of septic OA in morbid obese patient with EAF which developed after strangulated recurrent giant incisional hernia repair.
We would also like to emphasize, in this case, the conversion of EAF to ileostomy by the help of second Negative Pressure Therapy (NPT) on ostomy side, and the chance of new EAF occurrence was reduced with intrarectal NPT.
Case Presentation.
62-year-old morbid obese woman became an OA patient with EAF after strangulated recurrent giant hernia.
EAF was converted to ostomy with pezzer drain by the help of second NPT on ostomy.
Colonic distention was reduced with the third NPT application via rectum.
Abdominal reapproximation anchor (ABRA) system was used for delayed abdominal closure.
Conclusions.
Using the 2nd NPT on ostomy side may help in the maturation of the ostomy created in a difficult condition in an open abdomen.
Using the 3rd NPT through rectum may decrease the chance of EAF formation by reducing the pressure difference between intraluminal pressure and extraluminal pressure in hollow viscera.
American Psychological Association (APA)
Yetisir, Fahri& Şarer, Akgün Ebru& Acar, Hasan& Özer, Mehmet& Aygar, Muhittin& Osmanoglu, Gokhan. 2015. Management of Septic Open Abdomen in a Morbid Obese Patient with Enteroatmospheric Fistula by Using Standard Abdominal Negative Pressure Therapy in Conjunction with Intrarectal One. Case Reports in Surgery،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1060030
Modern Language Association (MLA)
Yetisir, Fahri…[et al.]. Management of Septic Open Abdomen in a Morbid Obese Patient with Enteroatmospheric Fistula by Using Standard Abdominal Negative Pressure Therapy in Conjunction with Intrarectal One. Case Reports in Surgery No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1060030
American Medical Association (AMA)
Yetisir, Fahri& Şarer, Akgün Ebru& Acar, Hasan& Özer, Mehmet& Aygar, Muhittin& Osmanoglu, Gokhan. Management of Septic Open Abdomen in a Morbid Obese Patient with Enteroatmospheric Fistula by Using Standard Abdominal Negative Pressure Therapy in Conjunction with Intrarectal One. Case Reports in Surgery. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1060030
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060030