Surgical treatment of enterocutaneous fistulas in patients with ventral incisional hernia

Kriger A.G.

Russian Research Center of Radiology;
Russian Medical Academy of Postgraduate Education

ORCID: 0000-0002-4567-8312

Akhtanin E.A.

Vishnevsky National Medical Research Center of Surgery

Gogia B.Sh.

A.V. Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-3587-8863

Struchkov V.Yu.

Vishnevsky National Medical Research Center of Surgery

Berelavichus S.V.

National Medical Research Center of Surgery named after A.V. Vishnevsky of Ministry of health of the Russian Federation

Aljautdinov R.R.

A.V. Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-9916-9062

Surgical treatment of enterocutaneous fistulas in patients with ventral incisional hernia

Authors:

Kriger A.G., Akhtanin E.A., Gogia B.Sh., Struchkov V.Yu., Berelavichus S.V., Aljautdinov R.R.

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Journal: Pirogov Russian Journal of Surgery. 2022;(9): 21‑26

DOI: 10.17116/hirurgia202209121

Downloaded: 146

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To cite this article:

Kriger AG, Akhtanin EA, Gogia BSh, Struchkov VYu, Berelavichus SV, Aljautdinov RR. Surgical treatment of enterocutaneous fistulas in patients with ventral incisional hernia. Pirogov Russian Journal of Surgery. 2022;(9):21‑26. (In Russ.)
https://doi.org/10.17116/hirurgia202209121

Подписка 2025 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To determine the optimal surgical treatment in patients with enterocutaneous fistulas combined with ventral incisional hernia.

MATERIAL AND METHODS

There were 24 patients with enterocutaneous fistulas combined with ventral incisional hernia. Enterocutaneous fistula was noted in 19 cases, enteroatmospheric fistula — in 5 patients.

RESULTS

Simultaneous fistula closure and abdominal wall repair were performed in 14 patients (mesh repair in 5 cases and local approximation of tissues in 9 cases). Postoperative complications occurred in 8 patients, hernia recurrence in long-term period developed in 7 people. Two-stage closure of abdominal wall defect was carried out in 10 patients. Fistula closure was followed by edge-to-edge anterior abdominal wall repair in 5 cases, skin edges were approximated by interrupted sutures or open wound management was performed. There were no postoperative complications and hernia recurrence in this group.

CONCLUSION

Surgical treatment of patients with enterocutaneous fistulas combined with hernia should be performed in two stages, i.e. enterocutaneous fistula closure with subsequent hernia repair.

Keywords:

enterocutaneous fistula

ventral incisional hernia

surgical treatment

Authors:

Kriger A.G.

Russian Research Center of Radiology;
Russian Medical Academy of Postgraduate Education

ORCID: 0000-0002-4567-8312

Akhtanin E.A.

Vishnevsky National Medical Research Center of Surgery

Gogia B.Sh.

A.V. Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-3587-8863

Struchkov V.Yu.

Vishnevsky National Medical Research Center of Surgery

Berelavichus S.V.

National Medical Research Center of Surgery named after A.V. Vishnevsky of Ministry of health of the Russian Federation

Aljautdinov R.R.

A.V. Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-9916-9062

Received:

28.02.2022

Accepted:

03.03.2022

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