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An Enterocutaneous fistulae (ECF) also known Gastro-intestinal fistulae, communicates between stomach, small or large bowel and skin, allowing gastrointestinal contents to flow on to the skin. The majority of ECF (75% - 90%) are the result of previous surgeries but it is estimated that 10% - 25% of the patients may develop an ECF without having had a surgical procedure. Negative pressure wound therapy (NPWT) is used extensively in the acute and chronic wound care arena of health care. It has become a standard of care for many types of wound from non-healing diabetic foot ulcer and burns to traumatic and surgical wounds. Recently attention has been paid using this system for the treatment of catastrophic abdominal wounds and open abdomen with ECF. We present 3 cases of ECF arising within open abdomen managed successfully by Vacuum assisted Negative pressure wound therapy.

Role of Vacuum assisted Negative pressure wound therapy in management of Enterocutaneous fistulae arising within the open abdomen: three case studies.