Case report of successful treatment of patient with high gastrointestinal fistulas with tertiary peritonitis and severe abdominal sepsis
This article is about the successful treatment of the patient with such heavy complications of a perforative duodenal ulcer as heavy abdominal sepsis, with the subsequent formation of fistulas of gastrointestinal tract. Application of the technique of «open abdomen» using vacuum assisted closure, al...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Pavlov First Saint Petersburg State Medical University
2019-04-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1126 |
| _version_ | 1797877569539801088 |
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| author | A. E. Demko S. A. Shlyapnikov G. I. Sinenchenko V. I. Kulagin I. M. Batyrshin V. M. Luft G. A. Pichugina D. S. Sklizkov Ju. S. Ostroumova A. V. Osipov |
| author_facet | A. E. Demko S. A. Shlyapnikov G. I. Sinenchenko V. I. Kulagin I. M. Batyrshin V. M. Luft G. A. Pichugina D. S. Sklizkov Ju. S. Ostroumova A. V. Osipov |
| author_sort | A. E. Demko |
| collection | DOAJ |
| description | This article is about the successful treatment of the patient with such heavy complications of a perforative duodenal ulcer as heavy abdominal sepsis, with the subsequent formation of fistulas of gastrointestinal tract. Application of the technique of «open abdomen» using vacuum assisted closure, allowed in this case to realize the principle of «sourcecontrol» and to achieve stabilization of the condition in multiple organ failure and septic shock. It is worth noting the advantage of stage reconstructive surgical interventions to this category of patients that allows to gradually improve quality of life of the patient without high operational risks of big simultaneous reconstructive operations. |
| first_indexed | 2024-04-10T02:20:27Z |
| format | Article |
| id | doaj.art-3d27a64fa5f24b3dae7a28ce94a7c0b8 |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:20:27Z |
| publishDate | 2019-04-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-3d27a64fa5f24b3dae7a28ce94a7c0b82023-03-13T08:09:17ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252019-04-011782525510.24884/0042-4625-2019-178-2-52-55977Case report of successful treatment of patient with high gastrointestinal fistulas with tertiary peritonitis and severe abdominal sepsisA. E. Demko0S. A. Shlyapnikov1G. I. Sinenchenko2V. I. Kulagin3I. M. Batyrshin4V. M. Luft5G. A. Pichugina6D. S. Sklizkov7Ju. S. Ostroumova8A. V. Osipov9Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine.This article is about the successful treatment of the patient with such heavy complications of a perforative duodenal ulcer as heavy abdominal sepsis, with the subsequent formation of fistulas of gastrointestinal tract. Application of the technique of «open abdomen» using vacuum assisted closure, allowed in this case to realize the principle of «sourcecontrol» and to achieve stabilization of the condition in multiple organ failure and septic shock. It is worth noting the advantage of stage reconstructive surgical interventions to this category of patients that allows to gradually improve quality of life of the patient without high operational risks of big simultaneous reconstructive operations.https://www.vestnik-grekova.ru/jour/article/view/1126intestinal fistulatertiary peritonitisabdominal sepsisnegative pressure wound therapy |
| spellingShingle | A. E. Demko S. A. Shlyapnikov G. I. Sinenchenko V. I. Kulagin I. M. Batyrshin V. M. Luft G. A. Pichugina D. S. Sklizkov Ju. S. Ostroumova A. V. Osipov Case report of successful treatment of patient with high gastrointestinal fistulas with tertiary peritonitis and severe abdominal sepsis Вестник хирургии имени И.И. Грекова intestinal fistula tertiary peritonitis abdominal sepsis negative pressure wound therapy |
| title | Case report of successful treatment of patient with high gastrointestinal fistulas with tertiary peritonitis and severe abdominal sepsis |
| title_full | Case report of successful treatment of patient with high gastrointestinal fistulas with tertiary peritonitis and severe abdominal sepsis |
| title_fullStr | Case report of successful treatment of patient with high gastrointestinal fistulas with tertiary peritonitis and severe abdominal sepsis |
| title_full_unstemmed | Case report of successful treatment of patient with high gastrointestinal fistulas with tertiary peritonitis and severe abdominal sepsis |
| title_short | Case report of successful treatment of patient with high gastrointestinal fistulas with tertiary peritonitis and severe abdominal sepsis |
| title_sort | case report of successful treatment of patient with high gastrointestinal fistulas with tertiary peritonitis and severe abdominal sepsis |
| topic | intestinal fistula tertiary peritonitis abdominal sepsis negative pressure wound therapy |
| url | https://www.vestnik-grekova.ru/jour/article/view/1126 |
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