Emergency Surgery Department, Fondazione Policlinico "A. Gemelli", Catholic University of the Sacred Heart, School of Medicine, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2017 May;21(10):2452-2457.
To describe for the first time in literature the specific methodology of use of negative pressure wound therapy (NPWT) for duodenal fistula through clinical cases. The constant increase of use of NPWT for complex surgical situations imposes tailored previously undescribed solutions for the technique.
Herein, three cases of high output duodenal fistula successfully treated with Negative Pressure Wound Therapy (NPWT) are reported. The technical details for the application of NPWT to these fistulas are discussed and described.
All three patients recovered without the necessity of further surgical operations.
When using NPWT, management of high-output duodenal fistulas must rely on some degree of customization of the aspiration systems. The aim of the procedure is to put under depression the duodenal hole and surrounding tissues "all in one" and not to separate the complex wound in sectors as usually indicated. We suggest calling this technique Negative Pressure Fistula Therapy.
通过临床病例首次在文献中描述负压伤口治疗（NPWT）用于十二指肠瘘的具体使用方法。NPWT 在复杂手术情况下的使用不断增加，这对该技术提出了以前未描述过的定制解决方案。
本文报告了三例成功用负压伤口治疗（NPWT）治疗的高输出十二指肠瘘病例。讨论并描述了将 NPWT 应用于这些瘘管的技术细节。
所有三例患者均无需进一步手术治疗而康复。
使用 NPWT 时，高输出十二指肠瘘的处理必须在一定程度上依赖于吸引系统的定制。该操作的目的是将十二指肠穿孔和周围组织“整体”置于负压下，而不是像通常那样将复杂的伤口分成多个区域。我们建议将该技术称为负压瘘管治疗。
