The introduction of negative pressure wound therapy has improved open abdomen treatment in a wide range of ways. Unfortunately, the handling of intestinal fistulae remains a serious problem. Suction, applied via a sponge to the wound surface, often results in enlargement of the fistula or eventration of the mucosa. In addition, viscous stool can obstruct the sponge, resulting in separation of the sponge and wound surface. The suction becomes insufficient and may lead to contamination or infection of the wound.
Pour cette raison, nous avons développé quatre nouveaux types d'adaptateurs de fistules pour la prise en charge des fistules entéro-atmosphériques en coopération avec les médecins de l'hôpital universitaire de Magdebourg