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01-02-2018 | Case Report

Peristomal leakage of enteroatmospheric fistulas treated with lipotransfer combined to minimal-invasive scar release technique

Authors: Delia Letizia Hoppe, Alexander Huppertz, Motjaba Ghods

Published in: European Journal of Plastic Surgery | Issue 1/2018

Abstract

Lipografting is emerging as a “rescue” treatment for postoperative sequelae, soft tissue volume defects and refractory fistulas. After complicated laparotomies or colostomies, also peristomal soft tissue volume deficiencies and scarring can occur and lead to severe care problems. Currently, no satisfactory treatment is available for these sequelae resulting in general surgery. In this case report, we applied the operative approach by means of a minimal-invasive scar release combined to waterjet-assisted lipotransfer and sculpturing on the abdominal wall as a treatment of peristomal irregularities. We applied one procedure on a patient with insufficient stoma sealing on large enteroatmospheric fistulas in “frozen” open abdomen (Björk 4 classification). Clinical and aesthetic outcome were measured and evaluated via digital photographs and CT scan pre- and postoperatively. Size reduction, complete sealing of the stoma appliance and total healing of the peristomal skin damage were accomplished within 5 weeks.

Level of Evidence: Level V, therapeutic study.

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Title: Peristomal leakage of enteroatmospheric fistulas treated with lipotransfer combined to minimal-invasive scar release technique
Authors: Delia Letizia Hoppe
Alexander Huppertz
Motjaba Ghods
Publication date: 01-02-2018
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Plastic Surgery / Issue 1/2018
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI: https://doi.org/10.1007/s00238-017-1345-4

At a glance: The STEP trials

Springer Medicine

Peristomal leakage of enteroatmospheric fistulas treated with lipotransfer combined to minimal-invasive scar release technique

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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