Mogos D, Vasile I, Păun I, Florescu M, Vâlcea D, Dumitrelea D, Ungureanu G, Nedelcuţă C, Didu S
Clinica de Chirurgie IV (Spitalul C.F.R.) Craiova.
Chirurgia (Bucur). 2000 May-Jun;95(3):261-6.
Guided fistula (or sinus tract) techniques, which are a nowadays a controversial topic, comprise a group of simple surgical methods of postoperative peritonitis treatment. This retrospective study is an attempt to bring further insights into the literature debate on the utility of the aforementioned techniques by presenting Craiova C.F.R. General Surgery Department 7 years (from 1991 through 1998) experience with 26 operated on patients, who underwent digestive guided fistulas too. In 16 of our study patients sinus tracts were created for postoperative peritonitis prophylactis purpose, whereas digestive guided fistulas, which were performed in the other 10 patients, were meant to treat peritonitis secondary to anastomosis breakdown. In 87% of pur series of digestive guided fistula patients the postoperative outcome was satisfactory. Three deaths were recorded only among the nonprophylactic sinus tract patients. Guided fistula method is an useful adjunct of the complex, well-codified management of postoperative peritonitis including its efficient prevention.
引导性瘘管（或窦道）技术如今是一个有争议的话题，它包括一组治疗术后腹膜炎的简单手术方法。这项回顾性研究试图通过介绍克拉约瓦C.F.R.普通外科7年（从1991年到1998年）对26例接受手术患者的经验，为上述技术效用的文献辩论提供进一步见解，这些患者也接受了消化引导性瘘管手术。在我们研究的患者中，16例为预防术后腹膜炎而创建了窦道，而另外10例患者进行的消化引导性瘘管手术则用于治疗吻合口破裂继发的腹膜炎。在我们系列消化引导性瘘管患者中，87%的术后结果令人满意。仅在非预防性窦道患者中有3例死亡记录。引导性瘘管方法是术后腹膜炎复杂、规范管理（包括有效预防）的有用辅助手段。
