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Techniques in Coloproctology
Published in: Techniques in Coloproctology 3/2015

01-03-2015 | Trick of the Trade

“Sandwich technique” with bridging, a modification of negative pressure wound therapy for anal fistulas

Authors: T. Banasiewicz, J. Hermann, L. Krokowicz, M. Drews

Published in: Techniques in Coloproctology | Issue 3/2015

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Excerpt

The surgical treatment of anal fistulas is a complex problem, associated with high relapse rates. Wounds frequently heal by the secondary intention. The process is time-consuming and frequently causes discomfort to the patient. Negative pressure wound therapy seems to be one of the methods which might accelerate the healing process in patients who have undergone surgery for anal fistula. Nevertheless, this approach is seldom used. The principal challenge in applying negative pressure wound therapy (NPWT) in the anal and perineal regions remains appropriate application of particular elements forming the negative pressure dressing and above all tight pasting of the foil. …
Literature
1.
Wild T, Staettner S, Lechner P et al (2014) Experience with negative pressure therapy in temporary abdominal closure of patients with secondary peritonitis. NPWT 1:33–38
2.
Banasiewicz T, Cybułka B, Iqbal A, Francuzik W, Linder J, Drews M (2014) Clinical and economic benefit of negative pressure wound therapy in treatment of the open abdomen. NPWT 1:39–47
3.
Horst N, Banasiewicz T, Krokowicz P (2014) Complex posttraumatic perineal wound with rectovaginal fistula—treatment with negative pressure therapy. NPWT 1:17–21
4.
Metadata
Title
“Sandwich technique” with bridging, a modification of negative pressure wound therapy for anal fistulas
Authors
T. Banasiewicz
J. Hermann
L. Krokowicz
M. Drews
Publication date
01-03-2015
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 3/2015
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-014-1247-4

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