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Wall vacuum-assisted closure technique for a complex enteroatmospheric fistula: report of a case Cover

Wall vacuum-assisted closure technique for a complex enteroatmospheric fistula: report of a case

Asian Biomedicine
Volume 11 (2017): Issue 3 (June 2017)
By: Supparerk Prichayudh,  Eakkaluck Thammacharoen,  Suvit Sriussadaporn,  Rattaplee Pak-art,  Sukanya Sriussadaporn,  Kritaya Kritayakirana,  Pasurachate Samorn and  Natawat Narueponjirakul  
Open Access
|Aug 2017

Figures & Tables

Figure 1

An enteroatmospheric fistula in the present patient, the multiple intestinal openings are demonstrated (arrows). Clinical photograph with consent of the patient and permission from the patient’s family for publication.
An enteroatmospheric fistula in the present patient, the multiple intestinal openings are demonstrated (arrows). Clinical photograph with consent of the patient and permission from the patient’s family for publication.

Figure 2

The Wall VAC technique: leveling the skin surrounding the enteroatmospheric fistula wound. A. A layer of hydrocolloid dressing (DuoDERM, ConvaTec) was used to protect the skin from fistula effluent. B. Another layer of skin barrier wafer (Stomahesive, ConvaTec) was applied for additional skin protection and skin leveling. Each layer was reinforced with an incise drape (Ioban, 3M). Clinical photographs with consent of the patient and permission from the patient’s family for publication.
The Wall VAC technique: leveling the skin surrounding the enteroatmospheric fistula wound. A. A layer of hydrocolloid dressing (DuoDERM, ConvaTec) was used to protect the skin from fistula effluent. B. Another layer of skin barrier wafer (Stomahesive, ConvaTec) was applied for additional skin protection and skin leveling. Each layer was reinforced with an incise drape (Ioban, 3M). Clinical photographs with consent of the patient and permission from the patient’s family for publication.

Figure 3

The Wall VAC technique: creating the “Wall VAC” using a rectangular-shaped VAC sponge. Two suction systems were used, a nasogastric tube embedded in the sponge (small arrows) and a larger tube drain with multiple side holes placed medially to the wall (a large arrow). Clinical photographs with consent of the patient and permission from the patient’s family for publication.
The Wall VAC technique: creating the “Wall VAC” using a rectangular-shaped VAC sponge. Two suction systems were used, a nasogastric tube embedded in the sponge (small arrows) and a larger tube drain with multiple side holes placed medially to the wall (a large arrow). Clinical photographs with consent of the patient and permission from the patient’s family for publication.

Figure 4

The Wall VAC technique: sealing the system. A. A Wall VAC sponge was put in a plastic bag with a cut window in the bag’s posterior surface (dashed rectangle) and the whole system was applied to the enteroatmospheric fistula wound on top of the skin barrier. B. The edges of the plastic bag were sealed with an incise drape (Ioban, 3M) to create a closed system and the tubes were connected to wall suction with a negative pressure of –80 to –100 mmHg. Clinical photographs with consent of the patient and permission from the patient’s family for publication.
The Wall VAC technique: sealing the system. A. A Wall VAC sponge was put in a plastic bag with a cut window in the bag’s posterior surface (dashed rectangle) and the whole system was applied to the enteroatmospheric fistula wound on top of the skin barrier. B. The edges of the plastic bag were sealed with an incise drape (Ioban, 3M) to create a closed system and the tubes were connected to wall suction with a negative pressure of –80 to –100 mmHg. Clinical photographs with consent of the patient and permission from the patient’s family for publication.
DOI: https://doi.org/10.5372/1905-7415.1103.557 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
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Language: English
Page range: 261 - 265
Published on: Aug 31, 2017
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year
Keywords:
Enteroatmospheric fistula,
negative pressure wound therapy,
vacuum-assisted closure,
wall VAC
Related subjects:
Medicine,
Assistive professions, nursing,
Basic medical science,
Basic medical science, other,
Clinical medicine,
Clinical medicine, other

© 2017 Supparerk Prichayudh, Eakkaluck Thammacharoen, Suvit Sriussadaporn, Rattaplee Pak-art, Sukanya Sriussadaporn, Kritaya Kritayakirana, Pasurachate Samorn, Natawat Narueponjirakul, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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