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Enterocutaneous fistula: a novel video-assisted approach

2017Journal article Open access
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dc.contributor.authorPalma-Rios, H
dc.contributor.authorGoulart, A
dc.contributor.authorRolanda, C
dc.contributor.authorLeão, P
dc.date.accessioned2017-09-08T09:52:52Z
dc.date.available2017-09-08T09:52:52Z
dc.date.issued2017
dc.description.abstractVideo-assisted anal fistula treatment (VAAFT) is a novel minimally invasive and sphincter-saving technique to treat complex anal fistulas described by Meinero in 2006. An enterocutaneous fistula is an abnormal communication between the bowel and the skin. Most cases are secondary to surgical complications, and managing this condition is a true challenge for surgeons. Postoperative fistulas account for 75–85% of all enterocutaneous fistulas. The aim of paper was to devise a minimally invasive technique to treat enterocutaneous fistulas. We used the same principles of VAAFT applied to other conditions, combining endoluminal vision of the tract with colonoscopy to identify the internal opening. We present a case of a 78-year-old woman who was subjected to a total colectomy for cecum and sigmoid synchronous adenocarcinoma. The postoperative course was complicated with an enterocutaneous fistula, treated with conservative measures, which recurred during follow-up. We performed video-assisted fistula treatment using a fistuloscope combined with a colonoscope. Once we identified the fistula tract, we performed cleansing and destruction of the tract, applied synthetic cyanoacrylate and sealed the internal opening with clips through an endoluminal approach. The patient was discharged 5 days later without complications. Two months later the wound was completely healed without evidence of recurrence. This procedure represents an alternative treatment for enterocutaneous fistula using a minimally invasive technique, especially in selected patients not able to undergo major surgery.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationVideosurg Minim Invasive Surg. 2017;12pt_PT
dc.identifier.doiDOI: 10.5114/wiitm.2017.67780pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.23/1194
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectCirurgia Vídeoassistidapt_PT
dc.subjectFistula Intestinalpt_PT
dc.titleEnterocutaneous fistula: a novel video-assisted approachpt_PT
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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