Vacuum-assisted closure of enterocutaneous fistula.

The authors report their experience in the treatment of a posttraumatic enterocutaneous fistula with negative-pressure therapy. After sustaining an epigastric shot wound, a 33-year-old woman underwent three consecutive laparotomies, which eventually led to an open abdomen with the interposition of a surgical mesh. Enterocutaneous fistulae were subsequently documented and vacuum-assisted closure therapy was instituted along with total parenteral nutrition and systemic antibiotics. Development of a suitable granulation bed and closure of the fistulae were noted after two weeks of treatment and a split-thickness skin graft was applied to the wound. Follow-up at 8 months showed stable coverage and a return to normal enteral feeding.