The open abdomen : Part 3 : Management of the Grade 3 open abdomen with entero-atmospheric fistulae
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Date
Authors
Pretorius, Jan P.
Liebenberg, C.
Piek, D.
Smith, M.
Journal Title
Journal ISSN
Volume Title
Publisher
Open Journals Systems
Abstract
Entero-atmospheric fistulae are a disastrous complication when laparostomes have to be used in abdominal surgery. Patients must be approached from a global and localised perspective, with heavy focus on management of fluid balance, electrolytes, nutrition, and prevention of infective complications. Specialised dressing of the laparostome and fistulae is essential for optimisation of the patient’s condition before undertaking more definitive forms of management, as well as for dignity and quality of life. Depending on the fistula classification, the dressing method may be successful. Fistula isolation is the key concept behind these specialised dressings. Ultimately, the objectives are to achieve either spontaneous or surgical closure of the fistula, and closure of the laparostome.
Description
Keywords
Open abdomen, Grade 3 open abdomen, Entero-atmospheric fistulae
Sustainable Development Goals
Citation
Pretorius, JP, Liebenberg, C, Piek, D & Smith, M 2011, 'The open abdomen Part 3 : Management of the Grade 3 open abdomen with entero-atmospheric fistulae', Wound Healing Southern Africa, vol. 4, no. 2, pp. 94-102.