Enterocutaneous fistula: a novel video-assisted approach
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/51695 |
Resumo: | Video-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. |
id |
RCAP_0e53cfc1ca9a12173e77d823778bcb68 |
---|---|
oai_identifier_str |
oai:repositorium.sdum.uminho.pt:1822/51695 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Enterocutaneous fistula: a novel video-assisted approachMini-invasive endoscopyEnterocutaneous fistulaVideo-assisted anal fistula treatmentCiências Médicas::Medicina ClínicaVideo-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.(undefined)info:eu-repo/semantics/publishedVersionTermedia PublishingUniversidade do MinhoRios, Hugo PalmaGoulart, AndréRolanda, CarlaTeixeira, Pedro Alexandre Leão Araújo Gonçalves2017-09-062017-09-06T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/51695engRios, H. P., Goulart, A., Rolanda, C., & Leão, P. (2017). Enterocutaneous fistula: a novel video-assisted approach. Videosurgery and Other Miniinvasive Techniques, 12(3), 2971895-458810.5114/wiitm.2017.67780https://www.termedia.pl/Journal/-42/Streszczenie-29942info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:21:14Zoai:repositorium.sdum.uminho.pt:1822/51695Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:14:26.885249Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Enterocutaneous fistula: a novel video-assisted approach |
title |
Enterocutaneous fistula: a novel video-assisted approach |
spellingShingle |
Enterocutaneous fistula: a novel video-assisted approach Rios, Hugo Palma Mini-invasive endoscopy Enterocutaneous fistula Video-assisted anal fistula treatment Ciências Médicas::Medicina Clínica |
title_short |
Enterocutaneous fistula: a novel video-assisted approach |
title_full |
Enterocutaneous fistula: a novel video-assisted approach |
title_fullStr |
Enterocutaneous fistula: a novel video-assisted approach |
title_full_unstemmed |
Enterocutaneous fistula: a novel video-assisted approach |
title_sort |
Enterocutaneous fistula: a novel video-assisted approach |
author |
Rios, Hugo Palma |
author_facet |
Rios, Hugo Palma Goulart, André Rolanda, Carla Teixeira, Pedro Alexandre Leão Araújo Gonçalves |
author_role |
author |
author2 |
Goulart, André Rolanda, Carla Teixeira, Pedro Alexandre Leão Araújo Gonçalves |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Rios, Hugo Palma Goulart, André Rolanda, Carla Teixeira, Pedro Alexandre Leão Araújo Gonçalves |
dc.subject.por.fl_str_mv |
Mini-invasive endoscopy Enterocutaneous fistula Video-assisted anal fistula treatment Ciências Médicas::Medicina Clínica |
topic |
Mini-invasive endoscopy Enterocutaneous fistula Video-assisted anal fistula treatment Ciências Médicas::Medicina Clínica |
description |
Video-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. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-06 2017-09-06T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/51695 |
url |
http://hdl.handle.net/1822/51695 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rios, H. P., Goulart, A., Rolanda, C., & Leão, P. (2017). Enterocutaneous fistula: a novel video-assisted approach. Videosurgery and Other Miniinvasive Techniques, 12(3), 297 1895-4588 10.5114/wiitm.2017.67780 https://www.termedia.pl/Journal/-42/Streszczenie-29942 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Termedia Publishing |
publisher.none.fl_str_mv |
Termedia Publishing |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799132586789830656 |