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Abstract
CONCLUSIONS: Our results support the use of skin grafting and fibrin glue as a successful method of treating enterocutaneous fistulas. VAC use has reduced but not eliminated the need for split-thickness skin grafts or mesh. The use of a dermal matrix and fibrin glue prevents contamination from the enteric fluid from the fistula. Additionally this method prevents the bowel from desiccation and touching surrounding dressings. Our results indicate that the acellular dermal matrix is able to be incorporated into the wound and the fibrin glue secures it and closes the fistula.
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