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Surg Clin North Am. 2013 Oct;93(5):1163-83. doi: 10.1016/j.suc.2013.06.006. Epub 2013 Jul 26.

Takedown of enterocutaneous fistula and complex abdominal wall reconstruction.

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Department of Surgery, National Intestinal Failure Centre, Salford Royal NHS Foundation Trust, Eccles Old Road, Salford, Manchester M6 8HD, UK.


Key steps in managing patients with enterocutaneous fistulation and an abdominal wall defect include dealing effectively with abdominal sepsis and providing safe and effective nutritional support and skin care, then assessing intestinal and abdominal anatomy, before undertaking reconstructive surgery. The complexity, cost, and morbidity associated with such cases justifies creation of specialized centers in which gastroenterologic, hernia, and plastic surgical expertise, as well as experienced wound and stoma nursing and nutritional and psychological support, can be made available for patients with these challenging problems.


Intestinal failure; Open abdomen; Separation of components; Sepsis; Stoma

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