Title: Vacuum Assisted Closure (VAC): A Promising Therapeutic Tool for Enterocutaneous Fistulas
Authors: Ketan Vagholkar, Madhavan Iyengar
DOI: http://dx.doi.org/10.18535/jmscr/v3i10.30
Managing an enterocutaneous fistula continues to pose the greatest challenge to the general surgeon. Aggressive supportive care is pivotal in managing these patients. Vacuum assisted closure (VAC) therapy is a promising therapeutic tool for such patients. It undoubtedly helps in closure of the fistula thus avoiding the high morbidity and mortality associated with surgical intervention. A case of a complex enterocutaneous fistula treated by VAC therapy is presented. Keywords: Enterocutaneous fistula, vacuum assisted closure treatment 1. Evenson AR, Fischer JE. Current management of enterocutaneous fistula. J GastrointestSurg 2006; 10: 455-464. 2. Vagholkar K. Negative Pressure Wound Therapy: A Promising Weapon in the Therapeutic Wound Management Armamentarium. Journal of Medical Science and Clinical Research. 2014; 2 (6); 1314-1319. 3. Orgill DP, Bayer LR. Negative pressure wound therapy: past, present and future.Int Wound J. 2013;10: 15-19 4. Turegano F, Garcia Marin A. Anatomy based surgical strategy of gastrointestinal fistula treatment. Eur J Trauma EmergSurg 2011; 37: 233-239. 5. Cattoni DI, Chara O, Vacuum effects over the closing of enterocutaneous fistulae: a mathematical modelling approach. Bull Math Biol. 2008; 70: 281-86. 6. Wainstein DE, Fernandez E, Gonzalez D, Chara O, Berkowski D. Treatment of high output enterocutaneous fistulas with a vacuum compaction device. A ten year experience. World J Surg 2008; 32:430-435.Abstract
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