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01-07-2012 | Case Report

The parachute design as a new extraperitoneal method of closing a recalcitrant high-output enterocutaneous fistula: report of a case

Authors: Louis de Weerd, Jørn Kjæve, Solveig Nergård

Published in: Surgery Today | Issue 7/2012

Abstract

We introduce a new method for closure of a recalcitrant high-output jejunal enterocutaneous fistula. First, a transposed rectus abdominis muscle is sutured into the fistula opening using a parachuting technique, then the muscle is covered with a skin graft and temporarily immobilized to the fistula wall and abdominal wall with a negative pressure device. This extraperitoneal method provides tension-free closure of the fistula with well-vascularized tissue, without compromising the intestinal lumen. No bowel is resected. This new technique allows for early mobilization and recommencement of enteral nutrition.

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Title: The parachute design as a new extraperitoneal method of closing a recalcitrant high-output enterocutaneous fistula: report of a case
Authors: Louis de Weerd
Jørn Kjæve
Solveig Nergård
Publication date: 01-07-2012
Publisher: Springer Japan
Published in: Surgery Today / Issue 7/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-012-0128-6

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The parachute design as a new extraperitoneal method of closing a recalcitrant high-output enterocutaneous fistula: report of a case

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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