Alsubaie Norah M, Albdah Abdullah M, Alrushaid Nouf R, Al-Abdullatif Fahad, Aljamili Gaida A
General Surgery, King Khalid University Hospital, Riyadh, SAU.
Trauma Surgery, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, SAU.
Cureus. 2021 Jan 18;13(1):e12777. doi: 10.7759/cureus.12777.
The entero-atmospheric fistula (EAF) is a recognized complication of open abdomen surgeries, which causes significant morbidity and mortality. This usually causes long hospitalizations and may require many surgical operations. While different methods of treatment for EAF are used, all different methods share the same goal, which is a proper closure of the fistula and the open abdomen to avoid recurrence and complications. We report a case of a 48-year-old female with a bowel perforation following an attempted open bilateral ovarian cyst drainage with cyst wall biopsy complicated by entero-atmospheric fistula treated by wound closure with vacuum-assisted pressure. In conclusion, the use of vacuum-assisted closure (VAC) to induce spontaneous healing of EAFs can provide a safe acceptable alternative to surgical treatment.
肠-腹壁瘘（EAF）是开腹手术公认的一种并发症，会导致严重的发病率和死亡率。这通常会导致住院时间延长，可能需要多次外科手术。虽然采用了不同的EAF治疗方法，但所有不同方法都有相同的目标，即妥善闭合瘘口和开放的腹腔，以避免复发和并发症。我们报告一例48岁女性病例，该患者在尝试行双侧卵巢囊肿开放引流并进行囊肿壁活检后出现肠穿孔，并发肠-腹壁瘘，采用真空辅助加压伤口闭合术进行治疗。总之，使用真空辅助闭合（VAC）诱导EAF自发愈合可为手术治疗提供一种安全可接受的替代方法。
