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Vacuum-assisted closure for cutaneous gastrointestinal fistula management.

Publication ,  Journal Article
Alvarez, AA; Maxwell, GL; Rodriguez, GC
Published in: Gynecol Oncol
March 2001

BACKGROUND: Cutaneous gastrointestinal (GI) fistulas are a challenging complication in the oncologic patient population. The fistulous effluent is difficult to manage and adversely alters quality of life. Nonsurgical management of enteric fistulas is successful in 30% of cases, requiring at least 4 to 6 weeks. Recently a new technology has been developed to expedite wound healing. The Vacuum-Assisted Closure (VAC) method is a subatmospheric pressure technique that has been demonstrated in laboratory and clinical studies to significantly improve wound healing. Here we report its use in the successful medical management of a cutaneous GI fistula. CASE: A 63-year-old woman with advanced ovarian cancer developed an extensive complex cutaneous GI fistula in an open healing wound. She was treated with total parental nutrition and the VAC device, which resulted in complete closure of the fistula. CONCLUSION: We propose that the VAC device may be a useful adjunct for the medical management of cutaneous GI fistulas.

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Published In

Gynecol Oncol

DOI

ISSN

0090-8258

Publication Date

March 2001

Volume

80

Issue

3

Start / End Page

413 / 416

Location

United States

Related Subject Headings

  • Vacuum
  • Surgical Procedures, Operative
  • Ovarian Neoplasms
  • Oncology & Carcinogenesis
  • Middle Aged
  • Intestinal Fistula
  • Humans
  • Female
  • Cutaneous Fistula
  • 1114 Paediatrics and Reproductive Medicine
 

Citation

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Alvarez, A. A., Maxwell, G. L., & Rodriguez, G. C. (2001). Vacuum-assisted closure for cutaneous gastrointestinal fistula management. Gynecol Oncol, 80(3), 413–416. https://doi.org/10.1006/gyno.2000.6092
Alvarez, A. A., G. L. Maxwell, and G. C. Rodriguez. “Vacuum-assisted closure for cutaneous gastrointestinal fistula management.Gynecol Oncol 80, no. 3 (March 2001): 413–16. https://doi.org/10.1006/gyno.2000.6092.
Alvarez AA, Maxwell GL, Rodriguez GC. Vacuum-assisted closure for cutaneous gastrointestinal fistula management. Gynecol Oncol. 2001 Mar;80(3):413–6.
Alvarez, A. A., et al. “Vacuum-assisted closure for cutaneous gastrointestinal fistula management.Gynecol Oncol, vol. 80, no. 3, Mar. 2001, pp. 413–16. Pubmed, doi:10.1006/gyno.2000.6092.
Alvarez AA, Maxwell GL, Rodriguez GC. Vacuum-assisted closure for cutaneous gastrointestinal fistula management. Gynecol Oncol. 2001 Mar;80(3):413–416.
Journal cover image

Published In

Gynecol Oncol

DOI

ISSN

0090-8258

Publication Date

March 2001

Volume

80

Issue

3

Start / End Page

413 / 416

Location

United States

Related Subject Headings

  • Vacuum
  • Surgical Procedures, Operative
  • Ovarian Neoplasms
  • Oncology & Carcinogenesis
  • Middle Aged
  • Intestinal Fistula
  • Humans
  • Female
  • Cutaneous Fistula
  • 1114 Paediatrics and Reproductive Medicine