treatment surgical of enterocutaneus fistula

Single-port laparoscopic surgery is usually performed on patients with minor comorbidities. The aim of the study was to evaluate feasibility and efficacy of single-port fecal diversion in patients who had previous abdominal operations or comorbidities. Between October 2010 and March 2012, 14 patients with a median age of 57 years were diverted. The reasons for diversion were perianal infection/abscess (n=5), anal incontinence (n=3), radiation proctitis (n=2), colovesical fistula causing sepsis (n=1), outlet obstruction of ileal S pouch (n=1), perforation during pouchoscopy (n=1), and peritoneal carcinomatosis with enterocutaneus fistula (n=1)...

INTRODUCTION: Enterocutaneous fistulas are an important complication of gastrointestinal surgery. Most of the cases (75% to 85%) are secondary to postoperative complications and are related to a high morbi-mortality rate, mainly sepsis, malnutrition and fluid and electrolyte imbalance. The aim of this study is to describe the main causes of enterocutaneous fistulas and morbi-mortality associated to treatment in the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán...