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https://doi.org/10.14300/mnnc.2022.17048

Radical treatment of unformed intestinal fistulas

[Abstracts]
Vladimir Petrovich Glabay; Vitaly Olegovich Tsvetkov; Vakhtang Gobejishvili; Zaira Eldarovna Eldarova; Vasilina Sergeevna Lesovik; Bogdan Borisovich Orlov;

The occurrence of unformed enteric fistulas remains an urgent problem. This is due to the low effectiveness of conventional treatment methods, leading to an increase in the number and progression of fistulas and death. Thirty patients who underwent elective abdominal emergency surgeries have been studied. Two to 5 fistula tracts have been identified; 11 (36.7 %) patients had complex fistulas. Twenty-three patients were operated on 3 to 36 times in other healthcare facilities. We operated patients after the onset of fistulas which was usually between 2 and 4 weeks. In 26 (86.7 %) cases, radical surgery was performed to remove small bowel carrying fistulas, mesentery and a segment of the anterior abdominal wall involved in the conglomerate; 3 patients underwent a bilateral disconnection of the fistulas due to severe condition, and one patient received a unilateral procedure. Thus, the treatment of unformed enteric fistulas is a complicated problem. Carrying out radical surgical treatment of this pathology is possible subject to the principles of preoperative preparation and the technical features of the implementation of the surgery.

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Keywords: unformed small bowel fistulas, complex small bowel fistulas, multiple small bowel fistulas, curative therapy of unformed small bowel fistulas