• Ann R Coll Surg Engl · May 2010

    Case Reports

    The use of the Flexi-Seal Faecal Management System in laparostomy wounds involving enterocutaneous fistula.

    • Joseph Hardwicke, Thomas C Wright, Rachel Hargest, and William Dickson.
    • Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK. hardwickej@doctors.org.uk
    • Ann R Coll Surg Engl. 2010 May 1; 92 (4): W12-4.

    AbstractWe present an innovative application of the Flexi-Seal Faecal Management System (FMS) for the diversion of upper and lower gastrointestinal secretions from enterocutaneous fistulae associated with complex wounds. Fistula is a common complication after the formation of a laparostomy, secondary to cases of severe intra-abdominal sepsis, acute mesenteric ischaemia, necrotising infection of the abdominal wall, or intra-abdominal hypertension. A significant mortality rate is associated with such fistula. With the successful continent diversion of gastrointestinal secretions by the Flexi-Seal FMS, abdominal wounds can be successfully skin-grafted, and wound healing expedited.

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