Open abdominal wounds are difficult to manage, especially when complicated by an enterocutaneous fistula. We describe a modified version of the fistula-VAC for enterocutaneous fistulas that are not matured, but instead are flush with the surrounding wound bed. Overall, time to complete healing was 5 weeks from the day of initiation of the modified fistula-VAC technique. We are confident that our method can be used to control enterocutaneous fistulas when the surrounding tissues are at differing heights around the wound bed. A multidisciplinary approach created the modified fistula-VAC technique, our solution to this complex wound-healing problem.
Rocco C. Piazza, M.D.
Shannon D. Armstrong, M.D.
Wayne Vanderkolk, M.D.
Evert A. Eriksson, M.D.
Steven L. Ringler, M.D.
Grand Rapids, Mich.
The authors thank Donald Scholten, M.D., professor, Grand Rapids Medical Education and Research Center, Department of General Surgery, Michigan State University; and Amanda M. McClure, B.S., Michigan State University College of Human Medicine, Grand Rapids, Michigan.
The authors have no disclosures with respect to this article.
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2. Goverman J, Yelon JA, Platz JJ, Singson RC, Turcinovic M. The “Fistula VAC,” a technique for management of enterocutaneous fistulae arising within the open abdomen: Report of 5 cases. J Trauma
2006;60:428–431; discussion 431.
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