Journal de chirurgie · 2007
[Tissue adhesive treatment of persistent recto-cutaneous fistula following Hartmann procedure].
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Fuks D, Bréhant O, Dumont F, Viart L, Manaouil D, Bartoli E, Yzet T, Mauvais F, Regimbeau J M
Аннотация
BACKGROUND: Cutaneous fistulas from the rectal stump after Hartmann procedure are not rare. Rarely do they require operative intervention, but they may result in prolonged skin care during hospitalization.
PURPOSE: of study: To describe the use of fibrin glue in the treatment of rectocutaneous fistulas occurring after Hartmann procedure.
STUDY DESIGN: Ten patients underwent irrigation of the fistulous tract followed by fibrin glue injection. The glue was reconstituted using the usual two syringe admixture technique; the tract was catheterized as far as the rectal stump, and the glue was injected as the catheter was withdrawn to skin level.
RESULTS: No complications were noted and the discharge from seven out of ten fistulas dried up completely.
CONCLUSION: Biologic glue occlusion of rectocutaneous fistulas simplified local care and decreased hospital stay.
PURPOSE: of study: To describe the use of fibrin glue in the treatment of rectocutaneous fistulas occurring after Hartmann procedure.
STUDY DESIGN: Ten patients underwent irrigation of the fistulous tract followed by fibrin glue injection. The glue was reconstituted using the usual two syringe admixture technique; the tract was catheterized as far as the rectal stump, and the glue was injected as the catheter was withdrawn to skin level.
RESULTS: No complications were noted and the discharge from seven out of ten fistulas dried up completely.
CONCLUSION: Biologic glue occlusion of rectocutaneous fistulas simplified local care and decreased hospital stay.