Abstract
Objective:To assess the benefits of negative pressure wound therapy (NPWT) in complex therapy of patients with enterocuta‑ neous fistulas.Methods: From 2014 to 2019 in Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, 24 patients were managed with vacuum assisted techniques. For comparison, a comparable group of 23 observations (control) was formed retrospectively based on an analysis of medical records.Results: When using NPWT, the terms of wound cleansing and the formation of a laparostomy were reduced, and conditions were created for its early closure. With a small laparostomy, the use of NPWT contributed to self-epithelialization of the wound around the fistula.Conclusions: The use of NPWT more than halves the time of formation of a laparostomy, shortens the time for cleansing the wound and creates the conditions for its closure. Surgical tactics using NPWT can more than three times reduce the number of local complications in patients with unformed intestinal fistulas and less often change the combination of antibacterial drugs.
Highlights
Цель: оценить преимущества терапии локальным отрицательным давлением (ЛОД) в комплексном лечении пациентов с несформированными наружными кишечными свищами
When using negative pressure wound therapy (NPWT), the terms of wound cleansing and the formation of a laparostomy were reduced, and conditions were created for its early closure
В результате терапии отрицательным давлением сокращаются сроки очищения раны и формирования лапаростомы, создаются условия для ранней свободной аутодермопластики или закрытия раны перемещенным лоскутом
Summary
To assess the benefits of negative pressure wound therapy (NPWT) in complex therapy of patients with enterocuta‐ neous fistulas. Results: When using NPWT, the terms of wound cleansing and the formation of a laparostomy were reduced, and conditions were created for its early closure. Conclusions: The use of NPWT more than halves the time of formation of a laparostomy, shortens the time for cleansing the wound and creates the conditions for its closure. Одним из ключевых элементов комплексного подхода к лечению пациентов с наружными кишечными свищами считается местное ведение раны, основные задачи которого – отграничение и защита окружающих тканей от свищевого отделяемого, создание условий для формирования свища или в идеале – его консервативного заживления [3, 4]. Применение локального отрицательного давления (ЛОД) переводит возможности местного ведения раны с несформированными кишечными свищами на совершенно новый уровень и позволяет значительно улучшить результаты лечения. Цель настоящего исследования – оценить преимущества терапии ЛОД в комплексном лечении пациентов с несформированными наружными кишечными свищами
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
