de Souza Sandro Cilindro, Meneses Diego de Almeida
From the Programa de Pós-Graduação em Processos Interativos de Órgãos e Sistemas, Institute of Health Sciences, Federal University of Bahia, Salvador, Bahia, Brazil.
Faculty of Medical Sciences, National University of Rosario, Rosario, Argentina.
Plast Reconstr Surg Glob Open. 2025 Jul 9;13(7):e6874. doi: 10.1097/GOX.0000000000006874. eCollection 2025 Jul.
Intestinal fistulas are disorders of renewed interest due to their rarity, high morbidity and mortality, and difficult treatment. Their incidence has increased due to the use of surgical procedures that leave the abdomen open because of the difficulty in approximating the wound edges. In the last decade, favorable results from the use of vacuum therapy in the management of fistulas have encouraged more research on the subject. This report aimed to analyze the effects of negative pressure wound therapy applied to a patient with multiple intestinal fistulas. A 47-year-old man with 3 complex postoperative fistulas was treated with negative pressure wound therapy. The case evolved with control and reduction of effluxes, reconfiguration of fistulas, granulation, cleaning, and reduction of the associated surgical wound. Negative pressure wound therapy proved effective in controlling the fistulas and optimizing the surgical wound.
肠瘘因其罕见性、高发病率和死亡率以及治疗困难而再次引起人们的关注。由于腹部伤口边缘难以对合而采用腹部开放的外科手术，其发病率有所增加。在过去十年中，负压疗法在瘘管治疗中取得的良好效果促使人们对该主题进行更多研究。本报告旨在分析负压伤口疗法对一名患有多处肠瘘患者的疗效。一名47岁男性，术后有3处复杂瘘管，接受了负压伤口疗法治疗。该病例的发展过程包括瘘液控制与减少、瘘管重新塑形、肉芽组织形成、清洁以及相关手术伤口缩小。负压伤口疗法在控制瘘管和优化手术伤口方面被证明是有效的。
