[Surgical treatment of enterocutaneous fistulas in patients with ventral incisional hernia].

Abstract

OBJECTIVE:

To determine the optimal surgical treatment in patients with enterocutaneous fistulas combined with ventral incisional hernia.

MATERIAL AND METHODS:

There were 24 patients with enterocutaneous fistulas combined with ventral incisional hernia. Enterocutaneous fistula was noted in 19 cases, enteroatmospheric fistula - in 5 patients.

RESULTS:

Simultaneous fistula closure and abdominal wall repair were performed in 14 patients (mesh repair in 5 cases and local approximation of tissues in 9 cases). Postoperative complications occurred in 8 patients, hernia recurrence in long-term period developed in 7 people. Two-stage closure of abdominal wall defect was carried out in 10 patients. Fistula closure was followed by edge-to-edge anterior abdominal wall repair in 5 cases, skin edges were approximated by interrupted sutures or open wound management was performed. There were no postoperative complications and hernia recurrence in this group.

CONCLUSION:

Surgical treatment of patients with enterocutaneous fistulas combined with hernia should be performed in two stages, i.e. enterocutaneous fistula closure with subsequent hernia repair.

• Authors: A G Kriger, E A Akhtanin, B Sh Gogiya, V Yu Struchkov, S V Berelavichus, R R Alyautdinov
• Journal: Khirurgiia (Khirurgiia (Mosk)) Issue 9 Pg. 21-26 ( 2022) ISSN: 0023-1207 [Print] Russia (Federation)
• Vernacular Title: Khirurgicheskoe lechenie naruzhnykh kishechnykh svishchei v posleoperatsionnykh gryzhakh.
• PMID: 36073579 (Publication Type: Journal Article)

Topics

• Hernia, Ventral (complications, diagnosis, surgery)
• Herniorrhaphy (adverse effects)
• Humans
• Incisional Hernia (complications, diagnosis, surgery)
• Intestinal Fistula (diagnosis, etiology, surgery)
• Postoperative Complications (etiology, surgery)
• Surgical Mesh (adverse effects)