Open abdomen with concomitant enteroatmospheric fistula: attempt to rationalize the approach to a surgical nightmare and proposal of a clinical algorithm
Development of an enteroatmospheric fistula (EAF) in the midst of an open abdomen
represents a surgical nightmare, with an extremely challenging critical care problem set,
including the full spectrum of surgical, metabolic, nutritional, and nursing issues.
Spontaneous closure is rare, as there is no fistula tract, and there is a lack of
wellvascularized overlying tissue. For these reasons, acute fistula management should aim
to completely divert fistula output, protect the surrounding viscera, and allow for the …
represents a surgical nightmare, with an extremely challenging critical care problem set,
including the full spectrum of surgical, metabolic, nutritional, and nursing issues.
Spontaneous closure is rare, as there is no fistula tract, and there is a lack of
wellvascularized overlying tissue. For these reasons, acute fistula management should aim
to completely divert fistula output, protect the surrounding viscera, and allow for the …
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